Individual
MS. ANDREA RENE BAILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
3550 MARKET ST, 4TH FLOOR ADOLESCENT CARE CENTER, PHILADELPHIA, PA 19104-3329
(215) 590-3537
Mailing address
814 FEDERAL ST, PHILADELPHIA, PA 19147-5007
(610) 405-4665
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP007072
PA
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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