Individual
AMANDA THERESA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
8081 INNOVATION PARK DR STE 800, FAIRFAX, VA 22031-4867
(571) 472-4600
(571) 665-6885
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024179998
VA
363LA2100X
Acute Care Nurse Practitioner
AC003252
MD
Other
Enumeration date
08/05/2020
Last updated
03/31/2022
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