Provider Demographics
NPI:1386971695
Name:BAILEY, ANITA C (RN)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:C
Last Name:BAILEY
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 1:950 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38012-2647
Mailing Address - Country:US
Mailing Address - Phone:731-772-0463
Mailing Address - Fax:731-772-3377
Practice Address - Street 1:950 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-2647
Practice Address - Country:US
Practice Address - Phone:731-772-0463
Practice Address - Fax:731-772-3377
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN129166163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse