DANA THERESA BAGEON

LOUISVILLE, KY
NPI1417205949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3014513)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  AC001508)
363LF0000X Nurse Practitioner, Family
(Licence: VA  0024170958)
363LF0000X Nurse Practitioner, Family
(Licence: SC  18099)
363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9200809)
Enumeration Date2012-08-15
Last Update Date2020-04-21
Business Address
Ms. DANA THERESA BAGEON ARNP
1607 DIXIE HWY
LOUISVILLE, KY 40210-1745
Phone number: 540-741-1667
Mailing Address
Ms. DANA THERESA BAGEON ARNP
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: