Doctor Name: | MS. SIDNEY PRICE BAILEY |
NPI Number: | 1386973139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN CDE |
License Number: | 418788 |
Business Practice Address: | 1606 Austin St La Marque, TX - 775685053 |
Business Phone Number: | 4094576225 |
Business Fax Number: | |
Mailing Address: | 1606 Austin St, LA MARQUE |
State: | TX |
Postal Code: | 775685053 |
Phone Number: | 4094576225 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 418788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |