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Individual

SPENCER L BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
400 ASHVILLE AVE STE 200A, CARY, NC 27518-6134
(919) 233-1680
Mailing address
8713 BRAXWOOD PL, RALEIGH, NC 27617-8705
(301) 751-2514

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
5015110
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5015110
NCBON
NC
Enumeration date
10/12/2021
Last updated
10/12/2021
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