| Kaitlin Paige Gresham, CRNP | |
| 399 5th St Se, Red Bay, AL 35582-4192 | |
| (256) 376-2036 | |
| (256) 376-2064 | 
| Full Name | Kaitlin Paige Gresham | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 399 5th St Se, Red Bay, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316527682 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-179637 (Alabama) | Primary | 
| Entity Name | Bay Health & Wellness, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760028864 PECOS PAC ID: 0345675112 Enrollment ID: O20200124001559 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kaitlin Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 | Kaitlin Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 | 
| Kayla Marie Humphries, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hospital Rd, Red Bay, AL 35582 Phone: 256-356-8907 Fax: 256-356-8903 | |
| Devin Fancher,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hospital Rd, Red Bay, AL 35582 Phone: 256-376-2032 Fax: 256-376-2055 | |
| Brandie Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 5th Ave Sw, Red Bay, AL 35582 Phone: 256-483-2882 |