MEDICARE: MS. LAURA BAILEY APRN-FNP

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	2023047413	MO

General Provider Information

NPI Number	:	1891115663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA BAILEY APRN-FNP

Provider Business Mailing Address
First Line	:	PO BOX 802843
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-2843
Country	:	US
Telephone Number	:	417-730-6430
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	101 SKAGGS RD STE 103
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2062
Country	:	US
Telephone Number	:	417-335-7792
Fax Number	:	417-335-7121

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	02/29/2024

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