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NPI Code Detail

MEDICARE: SHERRIE YVONNE BAILEY APRN

MEDICARE: SHERRIE YVONNE BAILEY APRN
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
1163WC1500XCommunity Health Registered Nurse1038730KY
2363LW0102XWomen's Health Nurse Practitioner864PKY

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 : 1770565681
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE YVONNE BAILEY APRN
Provider Business Mailing Address
First Line : 400 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1147
Country : US
Telephone Number : 859-744-4482
Fax Number : 859-744-0338
Provider Business Practice Location Address
First Line : 400 PROFESSIONAL AVE
Second Line :
City : WINCHESTER
State : KY
Zip : 40391-1147
Country : US
Telephone Number : 859-744-4482
Fax Number : 859-744-0338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 06/01/2015

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