Bayless, Heather Lynn

Bayless, Heather Lynn is an individual health care provider with primary practice located at 2600 Research Center Dr Suite A, Blacksburg VA 24060-6325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bayless, Heather Lynn can be contacted via phone (540) 381-5291.

Contact Information

Primary practice address
2600 Research Center Dr Suite A Blacksburg VA 24060-6325
Fax: (540) 381-7857
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024172878 Virginia

Profile Details

NPI number 1992172217
LBN Legal business name Bayless, Heather Lynn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2015
Last updated Jan 17th, 2017 - about 8 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 1992172217 NPPES
Virginia MEDICAID 1992172217

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