Individual
MS. ANNE G BAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADV PRACTICE RN
Contact information
Practice address
1 COMMONS ST, RUTLAND, VT 05701-4652
(802) 747-1857
(802) 747-0129
Mailing address
89 TOWN HILL RD, PO BOX 573, PITTSFORD, VT 05763-0573
(802) 483-9395
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0420010759
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058662
BC/BS
VT
05
—
1008733
—
VT
Enumeration date
11/01/2006
Last updated
01/27/2012
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