Wellformed AI

NPI 1003936121 · live from the CMS NPI Registry

Keri Bailey, CPNP

Nurse Practitioner, Pediatrics in Denver, CO. National Provider Identifier 1003936121, active.

NPI record

NPI1003936121 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1601 E 19th Ave, Suite 5500, Denver, CO 80218
Practice phone303-839-6001
Mailing address720 S Colorado Blvd, Suite 220a, Glendale, CO 80246
EnumeratedMarch 30, 2007
Last updatedMay 16, 2008
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X161119 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.