Provider Demographics
NPI:1760371496
Name:ARCHULETA, BAILEY NICOLE (RN)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:NICOLE
Last Name:ARCHULETA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2951 STORMES AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-5133
Mailing Address - Country:US
Mailing Address - Phone:530-403-8174
Mailing Address - Fax:
Practice Address - Street 1:5 GILLICK WAY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-3595
Practice Address - Country:US
Practice Address - Phone:530-538-7471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95285424163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse