Individual
BAILEY IVANOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
261 OLD YORK RD STE 620, JENKINTOWN, PA 19046-3719
(215) 885-8700
Mailing address
24 RUTGERS DR, DELRAN, NJ 08075-1610
(856) 220-0050
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP028184
PA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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