LANDRY BAGWELL NP NPI 1356862858

NPI Information

NPI: 1356862858
Provider Name: LANDRY BAGWELL, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: WKMC CARDIOVASCULAR CONSULTANTS

PECOS Registration: Yes

Address:
2727 HEARNE AVE STE 301
SHREVEPORT, LA
ZIP 71103
Phone: (318) 631-6400
Get Directions

Landry Bagwell, NP is an acute care nurse practitioner in Shreveport, LA with 7 years of experience. Landry Bagwell, NP NPI is 1356862858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2727 HEARNE AVE STE 301
SHREVEPORT, LA
ZIP 71103-918
Phone: (318) 631-6400
Fax: (318) 631-0300

The NPI 1356862858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/5/2017 and was last updated on 6/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP09320	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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