Individual provider · NPI-1

Sheri Larue Bagley, FNP

Nurse Practitioner, Family · Bozeman, MT

NPI number1265806475
StatusActive
Last updated in NPPESNov 11, 2024

Details

NPI
1265806475
Entity type
Individual (NPI-1)
Name
Sheri Larue Bagley
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 25, 2015
Certification date
Nov 11, 2024
Last updated
Nov 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family101574MTYes

Practice location

1532 Ellis St Ste 104
Bozeman, MT 59715-8809

Phone 406-577-6319

Mailing address

4644 Danube Ln
Bozeman, MT 59718-8095

Phone 406-577-6319

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