Healthcare Provider Details

I. General information

NPI: 1992618979
Provider Name (Legal Business Name): BAILI MAUREEN DAVIS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 16TH ST
BEDFORD IN
47421-3821
US

IV. Provider business mailing address

726 16TH ST
BEDFORD IN
47421-3821
US

V. Phone/Fax

Practice location:
  • Phone: 812-583-7006
  • Fax:
Mailing address:
  • Phone: 812-583-7006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28260644A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: