Individual
MRS. LAURA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1730 E BROAD ST, HAZLETON, PA 18201-5622
(570) 455-9589
Mailing address
1068 VALLEY OF LKS, E-4, HAZLETON, PA 18202-9385
(570) 384-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP007416
PA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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