Individual
MRS. AMANDA BALISE BAILEY
Active
Individual
MRS. AMANDA BALISE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
165997
AK
363LA2200X
Adult Health Nurse Practitioner
AP60833518
WA
Other
Enumeration date
10/27/2016
Last updated
07/21/2022
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