Bailey, Shantidra
Bailey, Shantidra is an individual health care provider with primary practice located at 1160 E Northern Pkwy , Baltimore MD 21239-1933. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Bailey, Shantidra can be contacted via phone (443) 374-8188.Contact Information
Primary practice address
1160 E Northern Pkwy
Baltimore MD 21239-1933
Phone: (443) 374-8188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | 24R-115 | Maryland |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | A00109435 | Maryland |
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1760112742 |
|---|---|
| LBN Legal business name | Bailey, Shantidra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2022 |
| Last updated | Mar 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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