Provider Demographics
NPI:1629807763
Name:BAILEY, TRENEICE (CPC)
Entity type:Individual
Prefix:
First Name:TRENEICE
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 TOWNE CROSSING BLVD APT 506
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3933
Mailing Address - Country:US
Mailing Address - Phone:469-992-3449
Mailing Address - Fax:
Practice Address - Street 1:1751 TOWNE CROSSING BLVD APT 506
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3933
Practice Address - Country:US
Practice Address - Phone:469-992-3449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75141A9ABDD7A978374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula