Bailey, Susan Deborah
Bailey, Susan Deborah is an individual health care provider with primary practice located at 863 3Rd Ave N , St Petersburg FL 33701-2703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailey, Susan Deborah can be contacted via phone (727) 327-0333.Contact Information
Primary practice address
863 3Rd Ave N
St Petersburg FL 33701-2703
Phone: (727) 327-0333
Fax: (727) 321-6412
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG0000123 | Delaware |
Profile Details
NPI number | 1245232016 |
---|---|
LBN Legal business name | Bailey, Susan Deborah |
Credentials | Certified Family Nurse Practitioner (CFNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Mar 17th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245232016 | NPPES |
Delaware | Other | 169331 | COVENTRY |
Delaware | MEDICAID | 0000896242 | COVENTRY |
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