Bayles, Anita S

Bayles, Anita S is an individual health care provider with primary practice located at 102 Dunhill Pl Nw , Cleveland TN 37311-3885. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bayles, Anita S can be contacted via phone (423) 339-9581.

Contact Information

Primary practice address
102 Dunhill Pl Nw Cleveland TN 37311-3885
Phone: (423) 339-9581
Fax: (423) 472-0454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11780 Tennessee

Profile Details

NPI number 1972510303
LBN Legal business name Bayles, Anita S
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated May 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972510303 NPPES
Tennessee MEDICAID 3341555

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