Provider Demographics
NPI:1750710703
Name:BAILEY, KATELYN ANNE (RN, MSN, NP-C)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:ANNE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-342-6900
Mailing Address - Fax:724-342-6905
Practice Address - Street 1:2000 GREEN ST
Practice Address - Street 2:
Practice Address - City:FARRELL
Practice Address - State:PA
Practice Address - Zip Code:16121-1364
Practice Address - Country:US
Practice Address - Phone:724-342-6900
Practice Address - Fax:724-342-6905
Is Sole Proprietor?:No
Enumeration Date:2013-11-09
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.306258-COA1363LF0000X
OHCOA.15225-NP363LF0000X
PASP016441363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0094391Medicaid
PA1032127240004Medicaid
PA1032127240003Medicaid