Healthcare Provider Details

I. General information

NPI: 1245176346
Provider Name (Legal Business Name): BAILEY COMELLA RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17840 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3401
US

IV. Provider business mailing address

3252 PINECREST DR
BRUNSWICK OH
44212-3835
US

V. Phone/Fax

Practice location:
  • Phone: 440-531-6000
  • Fax:
Mailing address:
  • Phone: 818-689-5016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: