Provider Demographics
NPI:1972620086
Name:DAILEY, BARBARA J (DNP, ARNP, CCMSHT)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:DAILEY
Suffix:
Gender:F
Credentials:DNP, ARNP, CCMSHT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:J
Other - Last Name:SELBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3805 108TH AVE NE STE 106
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-7613
Mailing Address - Country:US
Mailing Address - Phone:425-636-8301
Mailing Address - Fax:425-636-8855
Practice Address - Street 1:3805 108TH AVE NE STE 106
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-7613
Practice Address - Country:US
Practice Address - Phone:425-636-8301
Practice Address - Fax:425-636-8855
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00069141163W00000X
WAAP30006713363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse