Provider Demographics
NPI:1275843278
Name:BAILEY, ANGEL LUCIELLE (LD)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:LUCIELLE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3413
Mailing Address - Country:US
Mailing Address - Phone:615-973-8778
Mailing Address - Fax:
Practice Address - Street 1:1033 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3413
Practice Address - Country:US
Practice Address - Phone:615-973-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-09
Last Update Date:2010-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula