Individual
BAILEY PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0340
Mailing address
1010 SPRUCE ST, ESPANOLA, NM 87532-2724
(505) 367-0340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67915
NM
Other
Enumeration date
05/05/2022
Last updated
08/24/2022
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