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Individual
NYKOL BAILEY
Active
Individual
NYKOL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70140
ID
367500000X
Certified Registered Nurse Anesthetist
105690
ID
Other
Enumeration date
01/27/2015
Last updated
09/30/2022
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