Healthcare Provider Details

I. General information

NPI: 1720948359
Provider Name (Legal Business Name): BAILEY MAY ISAAK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EAST ST N
ELGIN ND
58533-7105
US

IV. Provider business mailing address

3075 90TH AVE SW
RICHARDTON ND
58652-9739
US

V. Phone/Fax

Practice location:
  • Phone: 701-584-2792
  • Fax:
Mailing address:
  • Phone: 701-590-2767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number203757
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: