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Contact Information

SHANTIDRA BAILEY
1160 E NORTHERN PKWY
BALTIMORE, MD21239-1933
 Phone: 443-374-8188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Nurse's Aide

376K00000X
 

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for SHANTIDRA BAILEY · (Female)

NPI Number 1760112742
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2022
Last updated 03/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 24R-115
  • MD License # A00109435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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