MEDICARE: DEBRA K. BAILEY 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	APN.0001463-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932183316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA K. BAILEY FNP

Provider Business Mailing Address
First Line	:	2754 COMPASS DR STE 377
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-8723
Country	:	US
Telephone Number	:	970-241-2212
Fax Number	:	970-257-2401

Provider Business Practice Location Address
First Line	:	195 STAFFORD LN
Second Line	:
City	:	DELTA
State	:	CO
Zip	:	81416-2229
Country	:	US
Telephone Number	:	970-874-6823
Fax Number	:	970-874-6903

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	10/12/2023

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