Individual
BAILEY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 COLLEGE AVE, CONWAY, AR 72034-6297
(501) 329-3831
Mailing address
2850 PRINCE ST STE 43, CONWAY, AR 72034-3600
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R101732
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
220430
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2022
Last updated
06/16/2022
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