Provider Demographics
NPI:1548852544
Name:PALADE, BAILEE NOELLE
Entity type:Individual
Prefix:
First Name:BAILEE
Middle Name:NOELLE
Last Name:PALADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 BEELARD DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-5812
Mailing Address - Country:US
Mailing Address - Phone:530-588-6511
Mailing Address - Fax:
Practice Address - Street 1:436 BEELARD DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5812
Practice Address - Country:US
Practice Address - Phone:530-588-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA714199164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse