Individual
BAILEY DEVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4735 E UNION HILLS DR, PHOENIX, AZ 85050-3362
(602) 971-5121
(602) 242-6945
Mailing address
4735 E UNION HILLS DR, PHOENIX, AZ 85050-3362
(602) 971-5121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
289342
AZ
Other
Enumeration date
04/28/2023
Last updated
02/28/2024
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