MEDICARE: TONYA DAWN BAILEY APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	16426	CT

General Provider Information

NPI Number	:	1730016981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA DAWN BAILEY APRN, FNP-BC

Provider Business Mailing Address
First Line	:	335 RYE ST
Second Line	:
City	:	BROAD BROOK
State	:	CT
Zip	:	06016-9563
Country	:	US
Telephone Number	:	860-528-1359
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 MAIN ST.
Second Line	:
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108
Country	:	US
Telephone Number	:	203-788-1479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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