Provider Demographics
NPI:1871962043
Name:BAILEY, MOLLY ANN (PA)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ANN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:6234 W BEHREND DR
Mailing Address - Street 2:APT 3109
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6905
Mailing Address - Country:US
Mailing Address - Phone:503-830-9891
Mailing Address - Fax:
Practice Address - Street 1:6234 W BEHREND DR
Practice Address - Street 2:APT 3109
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6905
Practice Address - Country:US
Practice Address - Phone:503-830-9891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2021-10-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical