Healthcare Provider Details

I. General information

NPI: 1437093507
Provider Name (Legal Business Name): ANDREA BAILEY CRNA, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2639
US

IV. Provider business mailing address

555 WETMORE RD
COLUMBUS OH
43214-2207
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-3042
  • Fax:
Mailing address:
  • Phone: 937-751-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.473775
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.0021531
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: