Healthcare Provider Details

I. General information

NPI: 1093782989
Provider Name (Legal Business Name): MARLEEN F. BAILEY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 COLLEGE BLVD
OVERLAND PARK KS
66211-1630
US

IV. Provider business mailing address

7206 HARDY ST
OVERLAND PARK KS
66204-1702
US

V. Phone/Fax

Practice location:
  • Phone: 913-486-8934
  • Fax:
Mailing address:
  • Phone: 913-486-8934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number54734
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-68132-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: