Derrick Bailey
Individual provider Active NPI Family Nurse Practitioner · Andersen Afb, GU
NPI 1669929386 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1669929386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11003419 (FL)
- Practice address
- 36 Medical Group
Andersen Afb, GU 96543-4010 - Phone
- (671) 366-3231
- NPI assigned
- Sep 11, 2016
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 9369759 | FL | MD | Registered Nurse |
| APRN11003419 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 9369759 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11003419 | FL | Yes |
Addresses
Primary practice location
36 Medical Group
Andersen Afb, GU 96543-4010
Mailing address
36 Medical Group
Unit 14010 Andersen Afb
Apo, AP 96543-4010
Phone (671) 366-3231
Other providers in Andersen Afb, GU
- Andersen Phcy
- John Garcia
- Benjamin Huyck
- Imee Sarmiento Kiser
- Scott Christopher Martin
- Thaddeus Dwayne Mitcham
All providers in Andersen Afb, GU · Family Nurse Practitioner in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. 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.