Individual
SANDRA DENNEY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000118A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253870
—
IN
01
—
P01512385
MEDICARE RR
IN
Enumeration date
09/23/2005
Last updated
11/27/2023
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