Provider Demographics
NPI:1235672148
Name:BAILEY, BRAYSHAWN JANEA
Entity Type:Individual
Prefix:MS
First Name:BRAYSHAWN
Middle Name:JANEA
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 GOOD HOPE CT SE APT 404
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-3677
Mailing Address - Country:US
Mailing Address - Phone:202-326-2970
Mailing Address - Fax:
Practice Address - Street 1:2313 GOOD HOPE CT SE APT 404
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3677
Practice Address - Country:US
Practice Address - Phone:202-326-2970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-25
Last Update Date:2016-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide