Individual
MRS. SHANA DAWN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3801 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6506
(919) 782-5273
(919) 781-8853
Mailing address
3801 COMPUTER DR, SUITE 200, RALEIGH, NC 27609-6506
(919) 782-5273
(919) 781-8853
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
218962
NC
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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