Healthcare Provider Details

I. General information

NPI: 1184819419
Provider Name (Legal Business Name): MARIE F BAILEY, MSN, CS, ARNP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 NW MYHRE RD SUITE 1250
SILVERDALE WA
98383-8676
US

IV. Provider business mailing address

1780 NW MYHRE RD SUITE 1250
SILVERDALE WA
98383-8676
US

V. Phone/Fax

Practice location:
  • Phone: 360-698-2877
  • Fax: 360-698-5265
Mailing address:
  • Phone: 360-698-2877
  • Fax: 360-698-5265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARIE F BAILEY
Title or Position: OWNER
Credential: MSN, CS, ARNP
Phone: 360-698-2877