Julianne Kathryn Bailey, LPN

Individual provider Active NPI Licensed Practical Nurse · Vassar, MI

NPI 1619120367 · NPPES record last updated Oct 28, 2008

Key facts

NPI
1619120367
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703039558 (MI)
Practice address
150 Enterprise Dr
Vassar, MI 48768-9584
Phone
(989) 823-3040
Fax
(989) 823-2276
NPI assigned
Oct 28, 2008
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

LicenseStateTypeSpecialty
4703039558MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703039558 MI Yes

Addresses

Primary practice location

150 Enterprise Dr
Vassar, MI 48768-9584

Mailing address

150 Enterprise
Vassar, MI 48768
Phone (989) 823-3040

Other providers in Vassar, MI

All providers in Vassar, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.