| Doctor Name: | SUSANNE DANIELLE BAILEY |
| NPI Number: | 1093056210 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 763649 |
| Business Practice Address: | 11006 Spencer Hwy La Porte, TX - 775714416 |
| Business Phone Number: | 2814702100 |
| Business Fax Number: | |
| Mailing Address: | 8110 Blackcherry Ln, BAYTOWN |
| State: | TX |
| Postal Code: | 775234868 |
| Phone Number: | 8325247982 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 763649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |