Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 15176 | NV |
N | 111NI0900X | Internist | 15176 | NV |
Y | 207RI0200X | Infectious Disease | 15176 | NV |
NPI | 1023060506 |
---|---|
Provider Name | Dr. Christina Lynn Bailey |
First Address | Reno, NV 89502-2055 |
Second Address | Reno, NV 89502-1469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023060506 | (05) | NV |
10704171 | CAQH (01) | |
H16306 | (02) | FL |