Individual
BAILEY HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E NORTH AVE, MILWAUKEE, WI 53212-3515
(414) 267-6500
Mailing address
6016 S 19TH ST, MILWAUKEE, WI 53221-5009
(262) 994-0883
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
16503-33
WI
Other
Enumeration date
05/05/2025
Last updated
05/15/2025
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