Individual
KATRINA LYNN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, PA-C
Contact information
Practice address
PO BOX 10001, SAIPAN, MP 96950-8901
(670) 285-7486
Mailing address
PO BOX 10001, PMB 1451, SAIPAN, MP 96950
(670) 285-7486
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86096825
CO
363A00000X
Physician Assistant
Primary
1185355
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86096825
REGISTERED DIETITIAN
CO
Enumeration date
06/21/2021
Last updated
03/14/2025
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