Bailey, Larissa L

Bailey, Larissa L is an individual health care provider with primary practice located at 1655 East Hwy 3094 , East Bernstadt KY 40729. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bailey, Larissa L can be contacted via phone (606) 843-2339.

Contact Information

Primary practice address
1655 East Hwy 3094 East Bernstadt KY 40729
Phone: (606) 843-2339
Fax: (606) 843-6815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4075P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4075P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4075P Kentucky

Profile Details

NPI number 1598766768
LBN Legal business name Bailey, Larissa L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 16th, 2010 - about 14 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 1598766768 NPPES
Kentucky MEDICAID 78010170
Kentucky Other 37903705
Kentucky Other CB5773
Kentucky Other 4000501

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