Provider Demographics
NPI:1639858301
Name:ARITA, BAILEY HISLOP (ARPN-CNP)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:HISLOP
Last Name:ARITA
Suffix:
Gender:F
Credentials:ARPN-CNP
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:ASHLYN
Other - Last Name:HISLOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:181 EPOCH DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-4498
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4477 SOUTH LAMAR BLVD
Practice Address - Street 2:UNIT 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-892-9231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1088323363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics