Provider Demographics
NPI:1184819419
Name:MARIE F BAILEY, MSN, CS, ARNP, PLLC
Entity Type:Organization
Organization Name:MARIE F BAILEY, MSN, CS, ARNP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CS, ARNP
Authorized Official - Phone:360-698-2877
Mailing Address - Street 1:1780 NW MYHRE RD
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8676
Mailing Address - Country:US
Mailing Address - Phone:360-698-2877
Mailing Address - Fax:360-698-5265
Practice Address - Street 1:1780 NW MYHRE RD
Practice Address - Street 2:SUITE 1250
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8676
Practice Address - Country:US
Practice Address - Phone:360-698-2877
Practice Address - Fax:360-698-5265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty