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Heidi Bailey
Family Nurse Practitioner in Beaver Dam, Wisconsin
NPI 1114643756

Heidi Bailey is a Family Nurse Practitioner based in Beaver Dam, WI and is specialized in Family. Heidi Bailey practices in Beaver Dam, WI. The NPI Number for Heidi Bailey is 1114643756 and holds a License No. 13234-33 (Wisconsin).

The current practice location address for Heidi Bailey is 130 Corporate Dr, Beaver Dam, WI and can be reached out via phone at 920-887-3102.

Location: 130 Corporate Dr, Beaver Dam, WI, 53916-3116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114643756
Provider Name
Heidi Bailey
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 Corporate Dr, Beaver Dam, WI, 53916-3116
Phone Number
920-887-3102
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Corporate Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-3116
Phone Number
920-887-3102
Fax Number
person
Provider Business Mailing Address Details
Address
130 Corporate Dr
City
Beaver Dam
State
Wisconsin
Zip
53916-3116
Phone Number
920-887-3102
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
13234-33 (Wisconsin)
Definition
Definition to come...
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