ANITA LORETTA BAILEY PHD FNP-BC NPI 1427168855

NPI Information

NPI: 1427168855
Provider Name: ANITA LORETTA BAILEY, PHD FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1101 JACKSON ST SW
GRAVETTE, AR
ZIP 72736
Phone: (479) 787-5291
Get Directions

Anita Loretta Bailey, PHD FNP-BC is a family nurse practitioner in Gravette, AR. Anita Loretta Bailey, PHD FNP-BC NPI is 1427168855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 JACKSON ST SW
GRAVETTE, AR
ZIP 72736-121
Phone: (479) 787-5291
Fax: (417) 875-4710

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A003868	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	150717	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	823783283	MEDICARE ID-TYPE UNSPECIFIED
2	Q35905	MEDICARE UPIN
3	MA1327088	MEDICARE PIN	MISSOURI
4	312535YXKJ	MEDICARE PIN	ARKANSAS
5	429344609	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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