Healthcare Provider Details

I. General information

NPI: 1205550126
Provider Name (Legal Business Name): BAILEY MITCHELL WESKAMP DNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 QUINCE ORCHARD RD STE 410
GAITHERSBURG MD
20878-1479
US

IV. Provider business mailing address

11921 ROCKVILLE PIKE STE 400
ROCKVILLE MD
20852-2757
US

V. Phone/Fax

Practice location:
  • Phone: 301-414-2300
  • Fax:
Mailing address:
  • Phone: 301-414-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberR240443
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR240443
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: