Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 3005241 | KY |
NPI | 1043414162 |
---|---|
Provider Name | Tashia Dean Bailey |
First Address | Cincinnati, OH 45219-2610 |
Second Address | Cincinnati, OH 45219-2906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 02/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0168562 | (05) | OH |
7100209860 | (05) | KY |
H360200 | (05) | OH |