ELSA MAE Q BAGNULO

WAKE FOREST, NC
NPI1588848758
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NC  0050-03747)
Enumeration Date2007-12-24
Last Update Date2023-12-01
Business Address
ELSA MAE Q BAGNULO ANP, BC
11640 NORTHPARK DR
WAKE FOREST, NC 27587-5736
Phone number: 919-235-6540
Mailing Address
ELSA MAE Q BAGNULO ANP, BC
PO BOX 602195
CHARLOTTE, NC 28260-2195
Phone number: 877-498-4490
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