Healthcare Provider Details

I. General information

NPI: 1073055877
Provider Name (Legal Business Name): CUOI BAILEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CUOI BANH APRN

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 COLONIAL PINE LN
MINNEOLA FL
34715-4715
US

IV. Provider business mailing address

202 COLONIAL PINE LN
MINNEOLA FL
34715-4715
US

V. Phone/Fax

Practice location:
  • Phone: 407-617-5749
  • Fax:
Mailing address:
  • Phone: 407-617-5749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9283031
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13166
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3-002592
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31195
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP004127
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023675
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number907948
License Number StateMS
# 8
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9283031
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: