Individual
MRS. TANYA LEE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
185 VINING HILL RD, SOUTHWICK, MA 01077-9413
(413) 896-3118
Mailing address
185 VINING HILL RD, SOUTHWICK, MA 01077-9413
(413) 896-3118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN218393
MA
Other
Enumeration date
11/07/2020
Last updated
11/15/2020
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