Basic Information
| Provider Information | |||||||||
| NPI: | 1124402276 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAILEY | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 368 MILAN AVE | ||||||||
| Address2: | SUITE D | ||||||||
| City: | NORWALK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448573106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196636464 | ||||||||
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| Practice Location | |||||||||
| Address1: | 368 MILAN AVE | ||||||||
| Address2: | SUITE D | ||||||||
| City: | NORWALK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448573106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4196636464 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2015 | ||||||||
| LastUpdateDate: | 12/09/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN.CNP.17691 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.