Delila Ann Bailey-Modzik, NP-C
Nurse Practitioner in Greensboro, NC. Individual provider (NPI-1).
NPI number1760625834
StatusActive
Last updated in NPPESJan 6, 2022
Details
- NPI
- 1760625834
- Entity type
- Individual (NPI-1)
- Name
- Ms. Delila Ann Bailey-Modzik
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2009
- Certification date
- Jan 6, 2022
- Last updated
- Jan 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5004361 | NC | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 5004361 | NC |
Other names
- Delila Ann Kleinhenz (Former Name)
Practice location
1200 N Elm StGreensboro, NC 27401-1004
Phone 336-832-2820
Mailing address
Po Box 60447Charlotte, NC 28260-0447
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