=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407504012
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LATOYA BAILEY NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2022
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9260 W SUNSET RD STE 306
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89148-4903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 24-834-4837
-----------------------------------------------------
Fax | 24-106-6707
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9260 W SUNSET RD STE 306
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89148-4903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-483-4483
-----------------------------------------------------
Fax | 702-410-6670
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | 848638
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 848638
-----------------------------------------------------
License Number State | NV
-----------------------------------------------------