Amy S Bailey

Individual provider Active NPI Licensed Practical Nurse · Lancaster, SC

NPI 1013404698 · NPPES record last updated Apr 18, 2018

Key facts

NPI
1013404698
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
21339 (SC)
Practice address
1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Phone
(803) 285-7414
Fax
(803) 283-4329
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 21339 SC Yes

Addresses

Primary practice location

1025 W Meeting St Ste 200
Lancaster, SC 29720-2246

Mailing address

1025 W Meeting St Ste 200
Lancaster, SC 29720-2246
Phone (803) 285-7414

Other providers in Lancaster, SC

All providers in Lancaster, SC · Licensed Practical Nurse in South Carolina

Sources for this page

Verify at the official NPI Registry.