Healthcare Provider Details
I. General information
NPI: 1316700776
Provider Name (Legal Business Name): PATRICIA ARENA BAILEY APRN-FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/30/2024
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
116 S LINCOLN AVE
YORK NE
68467-4240
US
IV. Provider business mailing address
116 S LINCOLN AVE STE 1
YORK NE
68467-4240
US
V. Phone/Fax
- Phone: 402-710-2105
- Fax:
- Phone: 402-710-2501
- Fax: 402-982-4400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 57600 |
| License Number State | NE |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 115521 |
| License Number State | NE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: