Bagley, Karen Boullianne

Bagley, Karen Boullianne is an sole proprietor health care provider with primary practice located at 416 J Clyde Morris Blvd , Newport News VA 23601-1927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bagley, Karen Boullianne can be contacted via phone (757) 594-7400.

Contact Information

Primary practice address
416 J Clyde Morris Blvd Newport News VA 23601-1927
Phone: (757) 594-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024039042 Virginia

Profile Details

NPI number 1801960588
LBN Legal business name Bagley, Karen Boullianne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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