Doctor Name: | MS. CINDY SUE BAILEY |
NPI Number: | 1316173958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R123022-2 |
Business Practice Address: | 125 Frazee St E Detroit Lakes, MN - 565013501 |
Business Phone Number: | 2188442447 |
Business Fax Number: | 2188442431 |
Mailing Address: | 125 Frazee St E, DETROIT LAKES |
State: | MN |
Postal Code: | 565013501 |
Phone Number: | 2188442447 |
Fax Number: | 2188442431 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | R123022-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |