Individual
MRS. HEATHER NICOLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 W CRESTVIEW DR, LEBANON, PA 17042-7415
(717) 272-7469
Mailing address
1010 W CRESTVIEW DR, LEBANON, PA 17042-7415
(717) 272-7469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA003692
PA
363AM0700X
Medical Physician Assistant
Primary
MA057998
PA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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