Individual
MATTHEW BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP, FNP, ENP
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
843 PINE ST, DANVILLE, VA 24541-1925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177727
VA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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