Bailey, Susan Deborah

Bailey, Susan Deborah is an individual health care provider with primary practice located at 863 3Rd Ave N , St Petersburg FL 33701-2703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bailey, Susan Deborah can be contacted via phone (727) 327-0333.

Contact Information

Primary practice address
863 3Rd Ave N St Petersburg FL 33701-2703
Phone: (727) 327-0333
Fax: (727) 321-6412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG0000123 Delaware

Profile Details

NPI number 1245232016
LBN Legal business name Bailey, Susan Deborah
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Mar 17th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245232016 NPPES
Delaware Other 169331 COVENTRY
Delaware MEDICAID 0000896242 COVENTRY

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