MEDICARE: LATOYA BAILEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	848638	NV
2	363L00000X	Nurse Practitioner	848638	NV

General Provider Information

NPI Number	:	1407504012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA BAILEY NP

Provider Business Mailing Address
First Line	:	9260 W SUNSET RD STE 306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	702-483-4483
Fax Number	:	702-410-6670

Provider Business Practice Location Address
First Line	:	9260 W SUNSET RD STE 306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4903
Country	:	US
Telephone Number	:	24-834-4837
Fax Number	:	24-106-6707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2022
Last Update Date	:	12/09/2025

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Directions to “ LATOYA BAILEY NP” Practice Location

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