Individual
ADAM ODELL BAILEY
Active
Individual
ADAM ODELL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019011886
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
820830
NY
Other
Enumeration date
12/09/2020
Last updated
07/23/2021
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