Individual provider · NPI-1

Hannah Bailey

Nurse Practitioner · Bismarck, ND

NPI number1922678374
StatusActive
Last updated in NPPESOct 4, 2021

Details

NPI
1922678374
Entity type
Individual (NPI-1)
Name
Hannah Bailey
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2021
Certification date
Oct 4, 2021
Last updated
Oct 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR44576NDYes

Practice location

1800 E Interstate Ave Ste B
Bismarck, ND 58503-1566

Phone 701-323-5492

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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