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NPI Code Detail

MEDICARE: MS. HEATHER L. BAILEY APRN, NP-C

MEDICARE: MS. HEATHER L. BAILEY APRN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner674761TX
2363LF0000XFamily Nurse Practitioner674761TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093768822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER L. BAILEY APRN, NP-C
Provider Business Mailing Address
First Line : 1450 N PRESTON RD STE 60
Second Line :
City : PROSPER
State : TX
Zip : 75078-9890
Country : US
Telephone Number : 972-316-4555
Fax Number : 469-802-1548
Provider Business Practice Location Address
First Line : 152 N BRAND ROAD
Second Line : SUITE 100
City : MURPHY
State : TX
Zip : 75094-3748
Country : US
Telephone Number : 972-316-4555
Fax Number : 972-422-1808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/03/2025

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