| Doctor Name: | MICHELE BAILEY |
| NPI Number: | 1841539509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 64598 |
| Business Practice Address: | 1500 Terrace St Sutie 105 Hinton, WV - 259519768 |
| Business Phone Number: | 3044662933 |
| Business Fax Number: | 3044662932 |
| Mailing Address: | 1500 Terrace St, Suite 105 HINTON |
| State: | WV |
| Postal Code: | 259519768 |
| Phone Number: | 3044662933 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2013 |
| NPI Last Update Date: | 02/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 64598 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |