Individual
BAILEY NICOLE WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
757 US HIGHWAY 101, COSMOPOLIS, WA 98537-9701
(360) 580-1093
Mailing address
757 US HIGHWAY 101, COSMOPOLIS, WA 98537-9701
(360) 580-1093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61381509
WA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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