Provider Demographics
NPI:1487835443
Name:BAILEY, KATRINA M (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:M
Last Name:BAILEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KATRINA
Other - Middle Name:M
Other - Last Name:CAMPIGLIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4502A NORTH CHARLES ST.
Mailing Address - Street 2:LOYOLA UNIVERSITY MARYLAND HEALTH CENTER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210
Mailing Address - Country:US
Mailing Address - Phone:410-617-5055
Mailing Address - Fax:410-617-2173
Practice Address - Street 1:1 EAST 31ST STREET
Practice Address - Street 2:N200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-516-8270
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR161734363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily