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NPI Code Detail

MEDICARE: HEATHER R BAILEY NP

MEDICARE: HEATHER R 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
1363LF0000XFamily Nurse Practitioner28194285CIN
2363L00000XNurse Practitioner28194285CIN

General Provider Information

NPI Number : 1669234498
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER R BAILEY NP
Provider Business Mailing Address
First Line : PO BOX 631767
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3150 WARRICK DR
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-8602
Country : US
Telephone Number : 812-858-3355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2024
Last Update Date : 01/26/2024

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