Healthcare Provider Details

I. General information

NPI: 1750291076
Provider Name (Legal Business Name): CAROLINE BAYLIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 S GRAND BLVD
SAINT LOUIS MO
63104-1003
US

IV. Provider business mailing address

2 GREENBRIAR DR
SAINT LOUIS MO
63124-1819
US

V. Phone/Fax

Practice location:
  • Phone: 314-268-4090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number202618434
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: