Most Relevant Information
Provider Data
| NPI Number: | 1003568205 |
| Provider Name: | BAILEY DAUM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 10338 |
Most Important Dates
| Enumeration Date: | 01/19/2022 |
| Last Updated: | 01/19/2022 |
Provider Practice Location
40 TRUMBULL ST
NEW HAVEN
CT
065101001
Practice Location Phone/Fax
| Phone: | 6462704857 |
| Fax: |
Provider Mailing Location
40 TRUMBULL ST
NEW HAVEN
CT
065101001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |