Provider Demographics
NPI:1750189148
Name:CARPENTER, BAILEY GRACE (CD)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:GRACE
Last Name:CARPENTER
Suffix:
Gender:
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6056 WHISTLING BEND WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4388
Mailing Address - Country:US
Mailing Address - Phone:406-581-7512
Mailing Address - Fax:
Practice Address - Street 1:6056 WHISTLING BEND WAY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4388
Practice Address - Country:US
Practice Address - Phone:406-581-7512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula