DERENDER BAILEY NPI 1609703214

NPI Information

  • NPI: 1609703214
  • Provider Name: DERENDER BAILEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 41800 W 11 MILE RD NOVI, MI 48375
    SUITE 109
    NOVI, MI
    ZIP 48375
  • Phone: (561) 385-4455

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NPI Details

Derender Bailey is a family nurse practitioner in Novi, MI. Derender Bailey NPI is 1609703214. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41800 W 11 MILE RD NOVI, MI 48375
SUITE 109
NOVI, MI
ZIP 48375
Phone: (561) 385-4455

The enumeration date for this NPI number is 5/6/2026 and was last updated on 5/6/2026.

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
1363LF0000XNurse PractitionerFamilyAPRN-NP271294GEORGIAYes

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: 11/21/2025

NPI Synchronization or Removal

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