| NPI | 1255053633 | 
|---|---|
| Former Name | BAILEY ANN MCCREADY | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2022028520)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-81447-062)  | 
| Enumeration Date | 2022-09-13 | 
| Last Update Date | 2022-09-13 |