Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN60114511 | WA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 093007259N9 | OR |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 836092 | TX |
NPI | 1316103658 |
---|---|
Provider Name | Michele R Bailey |
First Address | Renton, WA 98055-5714 |
Second Address | Renton, WA 98055-5714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 19/06/2013 |