| Doctor Name: | ATHENA THERESA BAGAIPO |
| NPI Number: | 1023357605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 33 336397 |
| Business Practice Address: | 290 Red School Ln Phillipsburg, NJ - 088652276 |
| Business Phone Number: | 9082467060 |
| Business Fax Number: | 6103354404 |
| Mailing Address: | 617 Almond Ct, FLEMINGTON |
| State: | NJ |
| Postal Code: | 088223141 |
| Phone Number: | 9089683030 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2013 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 33 336397 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |