| NPI | 1740739366 | 
|---|---|
| Former Name | NICHOLAS BAGGETT | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019771) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10687736-4405) | 
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.019771) | |
| Enumeration Date | 2016-09-23 | 
| Last Update Date | 2025-08-27 |