Healthcare Provider Details

I. General information

NPI: 1346170248
Provider Name (Legal Business Name): BAILEY RUTH BYRNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MORPHY AVE
FAIRHOPE AL
36532-1899
US

IV. Provider business mailing address

PO BOX 1025
FAIRHOPE AL
36533-1025
US

V. Phone/Fax

Practice location:
  • Phone: 251-928-2375
  • Fax:
Mailing address:
  • Phone: 251-279-1109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number158239
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: