Mandie E Bagwell, APN
NPI #1720214794 in Carterville, Illinois
Provider Information
- NPI Number
- 1720214794
- Entity Type
- Individual
- Name
- Mandie E Bagwell, APN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APN
- Enumeration Date
- Jun 4, 2009
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 310 W PLAZA DR
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1980
- Phone
- (618) 985-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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