Individual
BAILEY M CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
909 N DALE MABRY HWY, TAMPA, FL 33609
(813) 978-9700
(813) 558-6186
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6186
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9365113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010240500
—
FL
Enumeration date
08/10/2012
Last updated
01/27/2020
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