Provider Demographics
NPI:1194805119
Name:BAILEY-ALLEN, SYLVIA ANNE (RN)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANNE
Last Name:BAILEY-ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92618 KNUTSON LN
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-8485
Mailing Address - Country:US
Mailing Address - Phone:541-267-4644
Mailing Address - Fax:541-267-4644
Practice Address - Street 1:92618 KNUTSON LN
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-8485
Practice Address - Country:US
Practice Address - Phone:541-267-4644
Practice Address - Fax:541-267-4644
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR098192Medicaid