Bailey-Modzik, Delila Ann

Bailey-Modzik, Delila Ann is an individual health care provider with primary practice located at 1200 N Elm St , Greensboro NC 27401-1004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bailey-Modzik, Delila Ann can be contacted via phone (336) 832-2820.

Contact Information

Primary practice address
1200 N Elm St Greensboro NC 27401-1004
Phone: (336) 832-2820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5004361 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004361 North Carolina

Profile Details

NPI number 1760625834
LBN Legal business name Bailey-Modzik, Delila Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2009
Last updated Jan 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760625834 NPPES
North Carolina MEDICAID 7000550

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