MEDICARE: MARIE BAYE MSN, RN, FNP-BC, CNL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	28221509A	IN
2	363L00000X	Nurse Practitioner	2014019003	IN
3	363LF0000X	Family Nurse Practitioner	71005849A	IN

General Provider Information

NPI Number	:	1447638135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE BAYE MSN, RN, FNP-BC, CNL

Provider Business Mailing Address
First Line	:	PO BOX 1028
Second Line	:
City	:	JASPER
State	:	IN
Zip	:	47547-1028
Country	:	US
Telephone Number	:	812-996-8478
Fax Number	:	812-996-8497

Provider Business Practice Location Address
First Line	:	4 W VINE ST
Second Line	:
City	:	DALE
State	:	IN
Zip	:	47523-9061
Country	:	US
Telephone Number	:	812-937-7140
Fax Number	:	812-937-7145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	02/20/2017

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