Bailey, Katrina Marie

Bailey, Katrina Marie is an individual health care provider with primary practice located at 120 Old Laramie Trl Ste 202 , Lafayette CO 80026-7012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bailey, Katrina Marie can be contacted via phone (303) 444-0840.

Contact Information

Primary practice address
120 Old Laramie Trl Ste 202 Lafayette CO 80026-7012
Fax: (303) 444-0838
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1976 Colorado

Profile Details

NPI number 1518177096
LBN Legal business name Bailey, Katrina Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 21st, 2022 - about 2 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 1518177096 NPPES
Colorado MEDICAID 09383751

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