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NPI Code Detail

MEDICARE: CHERRI BAILEY CNS

MEDICARE: CHERRI BAILEY CNS
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistAPN.0003042-CNSCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123115(MB0650425)OTHERCOCNS

General Provider Information

NPI Number : 1164430542
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERRI BAILEY CNS
Provider Business Mailing Address
First Line : 125 CRESTRIDGE ST
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3934
Country : US
Telephone Number : 970-494-9761
Fax Number :
Provider Business Practice Location Address
First Line : 1950 REDTAIL HAWK DR
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-9780
Country : US
Telephone Number : 970-586-9105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 06/15/2016

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Directions to “ CHERRI BAILEY CNS” Practice Location

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