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Individual

MRS. AMANDA WILLIS BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
501 MEDICAL CENTER DR, BOX30134 SUITE 100, ALEXANDRIA, LA 71301-8124
(318) 487-1358
(318) 487-9584
Mailing address
501 MEDICAL CENTER DR, BOX30134 SUITE 100, ALEXANDRIA, LA 71301-8124
(318) 487-1358
(318) 487-9584

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07895
LA

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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