Individual
KERI BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1601 E 19TH AVE, SUITE 5500, DENVER, CO 80218-1291
(303) 839-6001
(303) 839-6033
Mailing address
720 S COLORADO BLVD, SUITE 220A, GLENDALE, CO 80246-1912
(303) 584-8000
(866) 210-0907
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
161119
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04901363
MEDICAID PRACTICE NUMBER
CO
05
—
15380840
—
CO
01
—
37402552
MEDICAID PRACTICE NUMBER
CO
01
—
54552826
MEDICAID PRACTICE NUMBER
CO
01
—
809609
MEDICARE GROUP PTAN
CO
01
—
C809609
MEDICARE GROUP NUMBER
CO
Enumeration date
03/30/2007
Last updated
05/16/2008
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