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Individual

HOLLY BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN4053440
CA
207Q00000X
Family Medicine Physician
NP6119
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP6119
NURSE PRACTITIONER #
CA
05
RN4053440
CA
01
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
ZZZ92073Z
MEDICARE GROUP ID#
CA
Enumeration date
07/25/2006
Last updated
03/07/2023
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