Jenny T. Bagen in Tonawanda - Psychiatric/mental Health

Jenny T. Bagen - NPI 1184647505

Jenny T. Bagen is a Psychiatric/mental Health in Tonawanda, New York. Jenny T. Bagen practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Jenny T. Bagen is 1184647505. The last update date is 2019-02-03.

Jenny T. Bagen's current location address is 1405 Sheridan Dr, Tonawanda, New York. You can contact this provider via phone number 7164322892 and fax number 7163894155. The mailing address for Jenny T. Bagen is 1405 Sheridan Dr, Tonawanda, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenny T. Bagen
Address 1405 Sheridan Dr, Tonawanda, New York
Phone Number 7164322892
Fax Number 7163894155
Sole Proprietor Y
Credentials NP

NPI Number Detail

NPI Number 1184647505
Provider Enumeration Date 2006-07-26
Last Updated Date 2019-02-03

Provider Mailing Address Detail

Address 1405 Sheridan Dr
City Tonawanda
State New York (NY)
Post Code 142171248
Phone Number 7164322892
Fax Number 7163894155

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No F400997
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2792363 NY --

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FAQs about Jenny T. Bagen

What is the unique identifier code issued to Jenny T. Bagen by the Centers for Medicare & Medicaid Services (CMS)?

The Jenny T. Bagen has been assigned the NPI (National Provider Identifier) 1184647505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jenny T. Bagen's physical address?

The Jenny T. Bagen is physically located at 1405 Sheridan Dr, in the city of Tonawanda, NY, with the postal code 142171248.

What is the Jenny T. Bagen's specialty and taxonomy code?

The Jenny T. Bagen's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services assign the 1184647505 to Jenny T. Bagen?

The Centers for Medicare & Medicaid Services assigned the 1184647505 to Jenny T. Bagen on 2006-07-26.

As of what date was the information regarding Jenny T. Bagen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jenny T. Bagen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-03.

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