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NPI Code Detail

MEDICARE: ALICE BAILES CNM

MEDICARE: ALICE BAILES CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife0024084760VA
2367A00000XAdvanced Practice MidwifeAC000179MD
3367A00000XAdvanced Practice MidwifeRN40773DC

General Provider Information

NPI Number : 1134251549
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE BAILES CNM
Provider Business Mailing Address
First Line : 4001 CALMES NECK LN
Second Line :
City : BOYCE
State : VA
Zip : 22620-2605
Country : US
Telephone Number : 540-837-1846
Fax Number : 703-549-4821
Provider Business Practice Location Address
First Line : 1501 KING ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-2716
Country : US
Telephone Number : 703-549-5070
Fax Number : 703-549-4821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ ALICE BAILES CNM” Practice Location

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