Individual
JONATHAN C BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
ONE MEDICAL CENTER DR, ANESTHESIOLOGY, LEBANON, NH 03756-0001
(603) 650-5922
Mailing address
ONE MEDICAL CENTER DR, ANESTHESIOLOGY, LEBANON, NH 03756-0001
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
079441-21
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
079441-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2021
Last updated
06/11/2021
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