Provider Demographics
NPI:1497079248
Name:BAILEY, TERESA FULLINWIDER (JD, MLS, CD (DONA),)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:FULLINWIDER
Last Name:BAILEY
Suffix:
Gender:F
Credentials:JD, MLS, CD (DONA),
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 WESTFIELD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-3745
Mailing Address - Country:US
Mailing Address - Phone:412-341-1804
Mailing Address - Fax:
Practice Address - Street 1:1436 WESTFIELD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-3745
Practice Address - Country:US
Practice Address - Phone:412-341-1804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula