Provider Demographics
NPI:1467050138
Name:BARRINEAU, BAILEY SMITHEY (NP)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:SMITHEY
Last Name:BARRINEAU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-3082
Mailing Address - Country:US
Mailing Address - Phone:843-542-9535
Mailing Address - Fax:843-542-9675
Practice Address - Street 1:873 ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-3082
Practice Address - Country:US
Practice Address - Phone:843-542-9535
Practice Address - Fax:843-542-9675
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24351363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC24351OtherSTATE LICENSE