Doctor Name: | STEPHANIE ANN BAILEY |
NPI Number: | 1477819274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2012005563 |
Business Practice Address: | 2703 Running Horse Rd Platte City, MO - 640797077 |
Business Phone Number: | 8168587050 |
Business Fax Number: | 8168587055 |
Mailing Address: | 2703 Running Horse Rd, PLATTE CITY |
State: | MO |
Postal Code: | 640797077 |
Phone Number: | 8168587050 |
Fax Number: | 8168587055 |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2012005563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |