Individual
MS. DELILA ANN BAILEY-MODZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-2820
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004361
NC
363LA2200X
Adult Health Nurse Practitioner
5004361
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000550
—
NC
Enumeration date
04/19/2009
Last updated
01/06/2022
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