Leann Bailey, RN
Individual provider Active NPI Registered Nurse · Pacific, WA
NPI 1063257301 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1063257301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN00160976 (WA)
- Practice address
- 516 Butte Ave
Pacific, WA 98047-1413 - Phone
- (253) 880-4805
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RN00160976 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00160976 | WA | Yes |
Addresses
Primary practice location
516 Butte Ave
Pacific, WA 98047-1413
Mailing address
516 Butte Ave
Pacific, WA 98047-1413
Phone (253) 880-4805
Other providers in Pacific, WA
All providers in Pacific, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. 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.