Healthcare Provider Details

I. General information

NPI: 1457262081
Provider Name (Legal Business Name): CAROLINE BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 PARKRIDGE RD
HAVERHILL MA
01835-8514
US

IV. Provider business mailing address

373 S WILLOW ST # 238
MANCHESTER NH
03103-5751
US

V. Phone/Fax

Practice location:
  • Phone: 978-222-4060
  • Fax:
Mailing address:
  • Phone: 603-991-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2379102
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: