Provider Demographics
NPI:1023982691
Name:GONZALEZ, BAILEY MARIE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:BAILEY
Middle Name:MARIE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6813 VELVET ANTLER CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-1920
Mailing Address - Country:US
Mailing Address - Phone:804-229-4476
Mailing Address - Fax:
Practice Address - Street 1:6813 VELVET ANTLER CT
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-1920
Practice Address - Country:US
Practice Address - Phone:804-229-4476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194151207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine