Individual
NANCY ANN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6330
(603) 650-6390
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6330
(603) 650-6390
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
042-0006827
VT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6602
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000004
—
NH
05
—
0005544
—
VT
Enumeration date
06/15/2006
Last updated
08/29/2011
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