Provider Demographics
NPI:1912607508
Name:DONALDSON, BAILEY BROOKE (APRN)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:BROOKE
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:BROOKE
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18420 S RENNER RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-9173
Mailing Address - Country:US
Mailing Address - Phone:913-226-9315
Mailing Address - Fax:
Practice Address - Street 1:10500 QUIVIRA RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2373
Practice Address - Country:US
Practice Address - Phone:913-541-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82110-042363LF0000X
KSF02230732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily