Provider Demographics
NPI:1922570191
Name:BAILIE CRONIN APRN LLC
Entity Type:Organization
Organization Name:BAILIE CRONIN APRN LLC
Other - Org Name:PEAK INTERACTIVE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BAILIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP-BC, APRN
Authorized Official - Phone:720-460-9081
Mailing Address - Street 1:3455 RINGSBY CT STE 140
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-5050
Mailing Address - Country:US
Mailing Address - Phone:720-460-9080
Mailing Address - Fax:
Practice Address - Street 1:3455 RINGSBY CT STE 140
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-5050
Practice Address - Country:US
Practice Address - Phone:720-460-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-27
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty