Individual
DERRICK BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 MEDICAL GROUP, ANDERSEN AFB, GU 96543-4010
(671) 366-3231
Mailing address
36 MEDICAL GROUP, UNIT 14010 ANDERSEN AFB, APO, AP 96543-4010
(671) 366-3231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 9369759
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11003419
FL
Other
Enumeration date
09/11/2016
Last updated
08/16/2023
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