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Contact Information

SHAUN M BAILLIE, CRNP
100 ABBEYVILLE RD
LANCASTER, PA17603-4604
 Phone: 301-722-0484
 Fax: 833-903-0130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHAUN M BAILLIE · (Male)

NPI Number 1699471706
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/01/2023
Last updated 02/25/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • CO License # APN.0998356-NP
  • CO License # APN0998356-NP
  • PA License # SP030203
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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