Individual
MARY TERESA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6020 RICHMOND HWY STE 100, ALEXANDRIA, VA 22303-2157
(571) 550-9000
Mailing address
2213 WILLIAM AND MARY DR, ALEXANDRIA, VA 22308-1549
(617) 840-1685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186313
VA
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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