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NPI Code Detail

MEDICARE: PAUL WILLIAM BAILEY ENP-C/FNP-C

MEDICARE: PAUL WILLIAM BAILEY ENP-C/FNP-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
1163WE0003XEmergency Registered Nurse95157950CA
2363LF0000XFamily Nurse Practitioner95032265CA

General Provider Information

NPI Number : 1467130435
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WILLIAM BAILEY ENP-C/FNP-C
Provider Business Mailing Address
First Line : 1100 BUTTE ST
Second Line :
City : REDDING
State : CA
Zip : 96001-0852
Country : US
Telephone Number : 530-244-5353
Fax Number :
Provider Business Practice Location Address
First Line : 1100 BUTTE ST
Second Line :
City : REDDING
State : CA
Zip : 96001-0852
Country : US
Telephone Number : 530-244-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 03/11/2026

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Directions to “ PAUL WILLIAM BAILEY ENP-C/FNP-C” Practice Location

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