Provider Demographics
NPI:1548291271
Name:BAYLES, FERRIN EUGENE (CRNP)
Entity type:Individual
Prefix:MR
First Name:FERRIN
Middle Name:EUGENE
Last Name:BAYLES
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11348 HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-2702
Mailing Address - Country:US
Mailing Address - Phone:256-764-6087
Mailing Address - Fax:256-764-6089
Practice Address - Street 1:11348 HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-2702
Practice Address - Country:US
Practice Address - Phone:256-764-6087
Practice Address - Fax:256-764-6089
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1068168363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
S23784Medicare UPIN