Healthcare Provider Details

I. General information

NPI: 1578399473
Provider Name (Legal Business Name): BAILEY ERIN PLIENINGER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5141 W BROAD ST STE 130
COLUMBUS OH
43228-1984
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-851-8469
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0036821
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: