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Individual

JULIA S. BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
500 W FORT ST # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Mailing address
500 W FORT ST # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
N-40962
ID
363L00000X
Nurse Practitioner
Primary
NP-1473A
ID

Other

Enumeration date
03/15/2012
Last updated
02/17/2022
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