Mary Sue Bailey, RN CIC
Individual provider Active NPI Infection Control Registered Nurse · Claremore, OK
NPI 1053969295 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1053969295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infection Control Registered Nurse 163WI0600X
- License
- 69423 (OK)
- Practice address
- 101 S Moore Ave
Claremore, OK 74017-5091 - Phone
- (918) 342-6200
- NPI assigned
- Aug 30, 2019
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69423 | OK | MD | Occupational Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | 69423 | OK | |
| Infection Control Registered Nurse | 163WI0600X | 69423 | OK | Yes |
Addresses
Primary practice location
101 S Moore Ave
Claremore, OK 74017-5091
Mailing address
101 S Moore Ave
Claremore, OK 74017-5091
Phone (918) 342-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1254799595 | Other | OK | DOD |
Other providers in Claremore, OK
- Lorinda Rose Avery
- Axis RX Pharmacy, LLC
- Ahmad Z Azam
- Elizabeth Baehler
- Lauren Nicole Bahle
- Angellica Bains
- Alexis Marie Baker
- Ashley Renee Baker
- Eileen Marie Baker
- Jody Marie Baker
All providers in Claremore, OK · Infection Control Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.