Individual
BAYLEY COLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 OLMSTED BLVD STE 3, PINEHURST, NC 28374-8730
(910) 541-5880
Mailing address
9127 CANVAS RUN, CONVERSE, TX 78109-0040
(910) 308-3785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN298473
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
5021815
NC
Other
Enumeration date
11/23/2022
Last updated
03/15/2025
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