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NPI Code Detail

MEDICARE: MRS. BAILEY HENINGER FNP-C

MEDICARE:  MRS. BAILEY  HENINGER  FNP-C
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 PractitionerARNP.AP.70120928-NPWA
2363L00000XNurse PractitionerARNP.AP.70120928-NPWA

General Provider Information

NPI Number : 1720934078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BAILEY HENINGER FNP-C
Provider Business Mailing Address
First Line : PO BOX 31001
Second Line :
City : PASADENA
State : CA
Zip : 91110-0001
Country : US
Telephone Number : 425-207-5155
Fax Number :
Provider Business Practice Location Address
First Line : 5506 ROAD 68
Second Line :
City : PASCO
State : WA
Zip : 99301-9627
Country : US
Telephone Number : 425-207-5155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 06/03/2026

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Directions to “ MRS. BAILEY HENINGER FNP-C” Practice Location

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