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Amanda H Bagwell, CRNA

Nurse Anesthetist, Certified Registered in Tupelo, MS. Individual provider (NPI-1).

NPI number1710176532
StatusActive
Last updated in NPPESApr 24, 2009

Details

NPI
1710176532
Entity type
Individual (NPI-1)
Name
Mrs. Amanda H Bagwell
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2007
Last updated
Apr 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR867411MSYes

Other names

  • Amanda L Hoffman (Former Name)

Practice location

830 South Gloster
Tupelo, MS 38801

Phone 662-377-4394 · Fax 662-377-7045

Mailing address

Po Box 3294
Tupelo, MS 38803-3294

Phone 662-377-4394 · Fax 662-377-7045

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