NPI 1104112531 · live from the CMS NPI Registry
Sandra Louise Bailey, R.N., PNP
Nurse Practitioner, Pediatrics in Middletown, OH. National Provider Identifier 1104112531, active.
NPI record
| NPI | 1104112531 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 331 N Breiel Blvd, Middletown, OH 45042 |
| Practice phone | 513-424-1856 |
| Enumerated | June 23, 2011 |
| Last updated | June 23, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 114517 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.