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Contact Information

LARISSA L BAILEY, ARNP
1655 EAST HWY 3094
EAST BERNSTADT, KY40729
 Phone: 606-843-2339
 Fax: 606-843-6815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LARISSA L BAILEY · (Female)

NPI # 1598766768
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/09/2005
Last updated 08/16/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 4075P
  • KY Medicaid 78010170
  • KY Other 37903705 MEDICAID LAB GROUP
  • KY Other 4000501 MEDICARE LAB GROUP
  • KY Other CB5773 RR MEDICARE GROUP
Hospital affiliation(s)
  • WHITESBURG ARH HOSPITAL - (Acute Care)
    240 HOSPITAL ROAD
    WHITESBURG, KY 41858
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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