Healthcare Provider Details

I. General information

NPI: 1548379175
Provider Name (Legal Business Name): ANNA MARIE BAYES ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 23RD ST STE G10
ASHLAND KY
41101-2886
US

IV. Provider business mailing address

PO BOX 2379
ASHLAND KY
41105-2379
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-1185
  • Fax: 606-324-0585
Mailing address:
  • Phone: 606-408-9571
  • Fax: 606-408-6061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3004335
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: