Healthcare Provider Details

I. General information

NPI: 1851044846
Provider Name (Legal Business Name): KATHERINE MARIE BAILEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 E WOOSTER ST
BOWLING GREEN OH
43402-3186
US

IV. Provider business mailing address

629 E STEVENSON ST
GIBSONBURG OH
43431-1157
US

V. Phone/Fax

Practice location:
  • Phone: 419-372-2271
  • Fax: 419-354-3222
Mailing address:
  • Phone: 419-494-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0030679
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: