Bailey, Colleen Marie

Bailey, Colleen Marie is an individual health care provider with primary practice located at 332 Stutts Rd , Mooresville NC 28117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bailey, Colleen Marie can be contacted via phone (704) 677-4014.

Contact Information

Primary practice address
332 Stutts Rd Mooresville NC 28117
Phone: (704) 677-4014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 175004 North Carolina

Profile Details

NPI number 1841562691
LBN Legal business name Bailey, Colleen Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2012
Last updated Oct 28th, 2020 - about 4 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 1841562691 NPPES
North Carolina MEDICAID 8054241
North Carolina MEDICAID NAN109

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