Provider Demographics
NPI:1386973139
Name:BAILEY, SIDNEY PRICE (RN BSN CDE)
Entity type:Individual
Prefix:MS
First Name:SIDNEY
Middle Name:PRICE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RN BSN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-5053
Mailing Address - Country:US
Mailing Address - Phone:409-457-6225
Mailing Address - Fax:
Practice Address - Street 1:1606 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-5053
Practice Address - Country:US
Practice Address - Phone:409-457-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX418788163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator