Individual
ANDREA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-7425
Mailing address
PO BOX 9160, MORGANTOWN, WV 26506-9160
(304) 598-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN71037NP
WV
Other
Enumeration date
07/21/2014
Last updated
08/24/2015
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