Doctor Name: | MS. ANNE G BAYLOCK |
NPI Number: | 1073690707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADV PRACTICE RN |
License Number: | 0420010759 |
Business Practice Address: | 1 Commons St Rutland, VT - 057014652 |
Business Phone Number: | 8027471857 |
Business Fax Number: | 8027470129 |
Mailing Address: | 89 Town Hill Rd, Po Box 573 PITTSFORD |
State: | VT |
Postal Code: | 057630573 |
Phone Number: | 8024839395 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 0420010759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |