Doctor Name: | MS. HEATHER MARGARET BAILEY |
NPI Number: | 1013376011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-C |
License Number: | 0024173304 |
Business Practice Address: | 935 S Main St Farmville, VA - 239012211 |
Business Phone Number: | 4343155340 |
Business Fax Number: | |
Mailing Address: | 935 S Main St, FARMVILLE |
State: | VA |
Postal Code: | 239012211 |
Phone Number: | 4343155340 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024173304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |