Individual
LISA H BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10231 OLD OCEAN CITY BLVD, SUITE 210, BERLIN, MD 21811-3568
(410) 629-6870
(410) 641-3140
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R060296
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552105000
—
MD
Enumeration date
10/18/2005
Last updated
10/10/2011
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