Provider Demographics
NPI:1427024363
Name:BAILEY, CHERIL M (CRNA)
Entity Type:Individual
Prefix:
First Name:CHERIL
Middle Name:M
Last Name:BAILEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHERIL
Other - Middle Name:M
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:7012 ARBOR LEAF LANE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1969
Mailing Address - Country:US
Mailing Address - Phone:423-544-8782
Mailing Address - Fax:
Practice Address - Street 1:7012 ARBOR LEAF LN
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1969
Practice Address - Country:US
Practice Address - Phone:423-544-8782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN94196367500000X
TNAPN10900367500000X
GARN107693367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4345756OtherBCBS OF TN
TN3622492Medicaid
TN4077070OtherBCBS
TN3622492Medicaid
TN103I438808Medicare UPIN