Provider Demographics
NPI:1083042956
Name:BAGBY, BELINDA (APRN)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:BAGBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1441 E 30TH AVE # 318
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1257
Mailing Address - Country:US
Mailing Address - Phone:620-899-8643
Mailing Address - Fax:316-313-2025
Practice Address - Street 1:1028 E 1ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3903
Practice Address - Country:US
Practice Address - Phone:620-998-6438
Practice Address - Fax:316-313-2025
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS76070363LP0808X
KS53-76070-022363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health