Provider Demographics
NPI:1457694911
Name:NI MHAILLE, BAIRBRE AINE (MB BCH BAO)
Entity type:Individual
Prefix:DR
First Name:BAIRBRE
Middle Name:AINE
Last Name:NI MHAILLE
Suffix:
Gender:F
Credentials:MB BCH BAO
Other - Prefix:DR
Other - First Name:BAIRBRE
Other - Middle Name:AINE
Other - Last Name:NI MHAILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 HAZELWOOD
Mailing Address - Street 2:TAYLORS HILL
Mailing Address - City:GALWAY
Mailing Address - State:CONNAUGHT
Mailing Address - Zip Code:NA
Mailing Address - Country:IE
Mailing Address - Phone:0035387-245-6240
Mailing Address - Fax:
Practice Address - Street 1:1 GALWAY UNIVERSITY HOSPITALS
Practice Address - Street 2:NEWCASTLE ROAD
Practice Address - City:GALWAY
Practice Address - State:CONNAUGHT
Practice Address - Zip Code:NA
Practice Address - Country:IE
Practice Address - Phone:003539-154-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNRP20773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine