Individual
BAYLEY NICOLE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1508 EDGEMONT BLVD, PERRYVILLE, MO 63775-1231
(573) 768-3220
Mailing address
206 S WALNUT ST, PERRYVILLE, MO 63775-2616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017032958
MO
Other
Enumeration date
12/28/2017
Last updated
03/17/2018
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