Individual
BAILEE LYNN HANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
819 N SHIAWASSEE ST STE 110, OWOSSO, MI 48867-1601
(989) 723-1390
(989) 725-1415
Mailing address
819 N SHIAWASSEE ST STE 110, OWOSSO, MI 48867-1601
(989) 723-1390
(989) 725-1415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704354477
MI
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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