Individual
BAYLEE NAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(612) 863-6590
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12953
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/21/2018
Last updated
09/29/2019
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