Provider Demographics
NPI:1174395701
Name:BAILEY, KIZZY MARIE
Entity type:Individual
Prefix:
First Name:KIZZY
Middle Name:MARIE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIZZY
Other - Middle Name:MARIE
Other - Last Name:OSTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CD(DONA)
Mailing Address - Street 1:12 SCHOOL HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:FRANCESTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03043-3030
Mailing Address - Country:US
Mailing Address - Phone:603-391-5738
Mailing Address - Fax:
Practice Address - Street 1:12 SCHOOL HOUSE RD
Practice Address - Street 2:
Practice Address - City:FRANCESTOWN
Practice Address - State:NH
Practice Address - Zip Code:03043-3030
Practice Address - Country:US
Practice Address - Phone:603-391-5738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14859374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula