Individual
MRS. BAILEY NICOLE TRESENRITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 WAYNE ST, MIDDLEBURY, IN 46540-9074
(574) 389-1231
(574) 389-1232
Mailing address
22818 OLD US 20, ELKHART, IN 46516-9150
(574) 389-1231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001404A
IN
Other
Enumeration date
07/13/2012
Last updated
02/27/2014
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