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NICHOLAS BAILEY NP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1700892239
Individual Registrant: NICHOLAS BAILEY NP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
13129 14TH STREET CAMP PENDLETON, CA 92055-5191 US
Tel: 760-763-6523 Fax: --
Tel: 760-763-6523 Fax: --
Contact information for business:
13129 14TH STREET CAMP PENDLETON, CA 92055-5191 US
Tel: 760-763-6523 Fax: --
Tel: 760-763-6523 Fax: --
Registration Information:
NPI: 1700892239
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | NP16239 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
