Individual
BAILIE GRANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5265 HIGHWAY 1806, HUFF, ND 58554-8720
(701) 226-2531
Mailing address
5265 HIGHWAY 1806, HUFF, ND 58554-8720
(701) 226-2531
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R40265
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26381000
—
ND
Enumeration date
05/06/2022
Last updated
05/06/2022
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