Provider Demographics
NPI:1841072279
Name:BAILEY, JANET MARIE (RN)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:MARIE
Other - Last Name:GUGLIELMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4466 61ST LN N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-5131
Mailing Address - Country:US
Mailing Address - Phone:914-522-7637
Mailing Address - Fax:
Practice Address - Street 1:4466 61ST LN N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-5131
Practice Address - Country:US
Practice Address - Phone:914-522-7637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9625112163W00000X
NY495425163W00000X
NJNJ26NO10168300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse