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NPI Code Detail

MEDICARE: MR. COREY MICHAEL BAIR FNP-C

MEDICARE:  MR. COREY MICHAEL BAIR  FNP-C
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
1363LF0000XFamily Nurse PractitionerRXN.0109875-NPCO

General Provider Information

NPI Number : 1942092705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. COREY MICHAEL BAIR FNP-C
Provider Business Mailing Address
First Line : 251 FRONT ST STE 10
Second Line :
City : MONUMENT
State : CO
Zip : 80132-9137
Country : US
Telephone Number : 719-481-3121
Fax Number :
Provider Business Practice Location Address
First Line : 251 FRONT ST STE 10
Second Line :
City : MONUMENT
State : CO
Zip : 80132-9137
Country : US
Telephone Number : 719-481-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 07/10/2025

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Directions to “ MR. COREY MICHAEL BAIR FNP-C” Practice Location

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