| Doctor Name: | MRS. ANNE BAGSHAW |
| NPI Number: | 1023215126 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CPNP |
| License Number: | NP-01697 |
| Business Practice Address: | 1100 Harrison Ave 2nd Floor Harrison, OH - 450302543 |
| Business Phone Number: | 5132021282 |
| Business Fax Number: | 5132021286 |
| Mailing Address: | 550 Ludlow St, GREENDALE |
| State: | IN |
| Postal Code: | 470251535 |
| Phone Number: | 8125371966 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP-01697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |