Lan Bailey, RN
Individual provider Active NPI Registered Nurse · Pearl City, HI
NPI 1992527428 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1992527428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN58805 (HI)
- Practice address
- 2501 Waimano Home Rd
Pearl City, HI 96782-1478 - Phone
- (808) 454-1411
- Fax
- (808) 454-0659
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| RN58805 | HI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Behavioral Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN58805 | HI | Yes |
Addresses
Primary practice location
2501 Waimano Home Rd
Pearl City, HI 96782-1478
Mailing address
PO Box 1196
Pearl City, HI 96782-8196
Phone (808) 454-1411
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All providers in Pearl City, HI · Registered Nurse in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 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.