Nicole Bailey
Individual provider Active NPI Certified Respiratory Therapist · Fruitland, MD
NPI 1154739209 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1154739209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Respiratory Therapist 227800000X
- License
- L0005002 (MD)
- Practice address
- 246 Garrison Way
Fruitland, MD 21826-2124 - Phone
- (410) 422-9270
- NPI assigned
- Jul 31, 2014
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0005002 | MD | MD | Certified Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | L0005002 | MD | Yes |
Addresses
Primary practice location
246 Garrison Way
Fruitland, MD 21826-2124
Mailing address
246 Garrison Way
Fruitland, MD 21826-2124
Other providers in Fruitland, MD
All providers in Fruitland, MD · Certified Respiratory Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. 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.