| NPI | 1306644711 |
|---|---|
| Former Name | BAILEY RENEE CREPAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.0039279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.531192) |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-11-11 |