Bailey Marie Beery
Anesthesiologist Assistant in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1629840186
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1629840186
- Entity type
- Individual (NPI-1)
- Name
- Bailey Marie Beery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2023
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000167A | IN | Yes |
Practice location
11141 Parkview Plaza Dr Ste 200Fort Wayne, IN 46845-1714
Phone 260-425-6030 · Fax 260-425-6028
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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