Individual
SHANNON PAIGE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 ELKTON RD, NEWARK, DE 19711-4919
(302) 737-7978
Mailing address
719 ELKTON RD, NEWARK, DE 19711-4919
(302) 444-1544
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
L1-0066496
DE
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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