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Individual

ANNIE J BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
3119 WOODMAN DR, ALTOONA, WI 54720-2668
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2112
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432980600
WI
Enumeration date
05/09/2006
Last updated
08/16/2022
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