Individual
MR. MICHAEL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1650
Mailing address
PO BOX 36840, ALBUQUERQUE, NM 87176-6840
(505) 243-7729
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA01022
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87803356
—
NM
Enumeration date
05/19/2006
Last updated
07/02/2019
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