Provider Demographics
NPI:1568257020
Name:BAILEY, AMAYA S
Entity type:Individual
Prefix:MRS
First Name:AMAYA
Middle Name:S
Last Name:BAILEY
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:AMAYA
Other - Middle Name:S
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:VA
Mailing Address - Zip Code:22427-9465
Mailing Address - Country:US
Mailing Address - Phone:804-572-3348
Mailing Address - Fax:
Practice Address - Street 1:211 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:VA
Practice Address - Zip Code:22427-9465
Practice Address - Country:US
Practice Address - Phone:804-572-3348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5032374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula