Individual
BRIANNA NICOLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
719 W 2ND ST, BLOOMINGTON, IN 47403-2209
(812) 676-4737
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003199A
IN
Other
Enumeration date
03/11/2021
Last updated
09/12/2022
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