Tetrault, Bailey B
Tetrault, Bailey B is an individual health care provider with primary practice located at 113 Comanche Rd # R0Ad , Fort Meade SD 57741-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tetrault, Bailey B can be contacted via phone (605) 347-2511.Contact Information
Primary practice address
113 Comanche Rd # R0Ad
Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP003084 | South Dakota |
Profile Details
| NPI number | 1639930902 |
|---|---|
| LBN Legal business name | Tetrault, Bailey B |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2024 |
| Last updated | Jan 23rd, 2024 - about 8 months 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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