Heather Wiles Bagley
Genetic Counselor, MS in Murray, UT. Individual provider (NPI-1).
NPI number1104277664
StatusActive
Last updated in NPPESAug 31, 2017
Details
- NPI
- 1104277664
- Entity type
- Individual (NPI-1)
- Name
- Heather Wiles Bagley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2016
- Last updated
- Aug 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | – | – | Yes |
Practice location
5121 S Cottonwood StMurray, UT 84107-5701
Phone 801-507-3975
Mailing address
5121 S Cottonwood StMurray, UT 84107-5701
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Genetic Counselor (M.S.) providers in Murray · All 3,867 providers in Murray
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