Ivy Marie Bagley in Greenville - Nurse Practitioner
Ivy Marie Bagley - NPI 1962664334
Ivy Marie Bagley is a Nurse Practitioner in Greenville, North Carolina. Ivy Marie Bagley practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ivy Marie Bagley is 1962664334. The last update date is 2011-01-05.
Ivy Marie Bagley's current location address is 1826 W Arlington Blvd, Greenville, North Carolina. You can contact this provider via phone number 2523297337. The mailing address for Ivy Marie Bagley is 1826 W Arlington Blvd, Greenville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Marie Bagley |
|---|---|
| Address | 1826 W Arlington Blvd, Greenville, North Carolina |
| Phone Number | 2523297337 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1962664334 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2011-01-05 |
Provider Mailing Address Detail
| Address | 1826 W Arlington Blvd |
|---|---|
| City | Greenville |
| State | North Carolina (NC) |
| Post Code | 278345704 |
| Phone Number | 2523297337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 5003886 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Ivy Marie Bagley's unique identification number?
The Ivy Marie Bagley has been assigned the NPI (National Provider Identifier) Number 1962664334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ivy Marie Bagley?
The Ivy Marie Bagley is physically situated at 1826 W Arlington Blvd, in the city of Greenville, state of NC, with the postal code 278345704.
What is Ivy Marie Bagley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ivy Marie Bagley is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962664334 to Ivy Marie Bagley?
The Centers for Medicare & Medicaid Services originally issued the 1962664334 to Ivy Marie Bagley on 2008-06-27.
When was the information regarding Ivy Marie Bagley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ivy Marie Bagley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-05.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC