CHRISTINE OLGA BAILES RN MSN FNP NPI 1841686201

NPI Information

Christine Olga Bailes, RN, MSN, FNP is a family nurse practitioner in Wasilla, AK with 9 years of experience. Christine Olga Bailes, RN, MSN, FNP NPI is 1841686201. 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:

3035 E PALMER WASILLA HWY STE 301
WASILLA, AK
ZIP 99654-274
Phone: (907) 864-0022
Fax: (877) 725-7371

The NPI 1841686201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 02D2156818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2015 and was last updated on 10/15/2018.

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:

Other Identifiers

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

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