Bagshaw, Mary Teresa

Bagshaw, Mary Teresa is an individual health care provider with primary practice located at 2635 N 7Th St , Grand Junction CO 81501-8209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bagshaw, Mary Teresa can be contacted via phone (970) 244-1977.

Contact Information

Primary practice address
2635 N 7Th St Grand Junction CO 81501-8209
Phone: (970) 244-1977
Fax: (970) 244-2898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 73645 Colorado

Profile Details

NPI number 1043473267
LBN Legal business name Bagshaw, Mary Teresa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Oct 7th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043473267 NPPES
Colorado MEDICAID 67126855

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