Individual
ANDREA D BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(864) 412-0446
Mailing address
PO BOX 890291, CHARLOTTE, NC 28289-0291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18817
SC
363LF0000X
Family Nurse Practitioner
Primary
18817
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2972
—
SC
Enumeration date
06/02/2014
Last updated
09/28/2015
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