Individual
NATISHA A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 319-3398
Mailing address
PO BOX 27113, MACON, GA 31221-7113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN135442
GA
Other
Enumeration date
02/21/2012
Last updated
07/01/2020
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