Individual
BAILEE BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 E 51ST ST, TULSA, OK 74134-6712
(918) 995-3001
Mailing address
2737 NW 140TH ST APT 116, OKLAHOMA CITY, OK 73134-6162
(405) 830-9981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NA
OK
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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