MEDICARE: MRS. KATRINA M BAILEY APRN

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	363LF0000X	Family Nurse Practitioner	R161734	MD

General Provider Information

NPI Number	:	1487835443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATRINA M BAILEY APRN

Provider Business Mailing Address
First Line	:	1 E 31ST ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-3902
Country	:	US
Telephone Number	:	410-516-3311
Fax Number	:	410-516-4784

Provider Business Practice Location Address
First Line	:	1 EAST 31ST STREET
Second Line	:	N200
City	:	BALTIMORE
State	:	MD
Zip	:	21218
Country	:	US
Telephone Number	:	410-516-8270
Fax Number	:	410-516-4784

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

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	04/20/2026

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