Individual
SUSAN M BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1180 N COURT ST, CIRCLEVILLE, OH 43113-1397
(740) 420-8030
(740) 477-8480
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.13813-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074586
—
OH
01
—
1851643472
NPI
OH
Enumeration date
10/05/2012
Last updated
01/25/2022
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