Individual
RYAN CLAY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
78336
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN78336-CRNA
WV
Other
Enumeration date
03/27/2017
Last updated
02/29/2024
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