Crystal Dee Bailey

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Harrison, MI

NPI 1457797623 · NPPES record last updated May 15, 2013

Key facts

NPI
1457797623
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
4704274534 (MI)
Practice address
789 N Clare Ave
Harrison, MI 48625-9194
Phone
(989) 539-2141
Fax
(989) 539-2143
NPI assigned
May 15, 2013
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

State licenses

LicenseStateTypeSpecialty
4704274534MIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704274534 MI Yes

Addresses

Primary practice location

789 N Clare Ave
Harrison, MI 48625-9194

Mailing address

789 N Clare Ave
Harrison, MI 48625-9194
Phone (989) 539-2141

Other providers in Harrison, MI

All providers in Harrison, MI · Psychiatric/Mental Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.