Individual
BAILIE N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112228
NE
Other
Enumeration date
06/09/2017
Last updated
06/05/2020
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