Healthcare Provider Details

I. General information

NPI: 1457960338
Provider Name (Legal Business Name): ARIANNA BAILEY DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 06/06/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 SUMMER ST
STAMFORD CT
06905-4311
US

IV. Provider business mailing address

39 BROOKLAWN AVE
NORWALK CT
06854-2147
US

V. Phone/Fax

Practice location:
  • Phone: 203-969-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number127749
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number127749
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9833
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: