Individual
BAILEY ELIZABETH D'ANTONIO
Active
Individual
BAILEY ELIZABETH D'ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61420139
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61420139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251751
—
WA
Enumeration date
04/22/2021
Last updated
08/06/2026
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