Individual
COLLEEN MARIE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
332 STUTTS RD, MOORESVILLE, NC 28117
(704) 677-4014
Mailing address
332 STUTTS RD, MOORESVILLE, NC 28117
(704) 677-4014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
175004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054241
—
NC
05
—
NAN109
—
SC
Enumeration date
02/08/2012
Last updated
10/28/2020
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