Individual
SUZANNE ELIZABETH BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 14TH ST, BEATRICE, NE 68310-2135
(402) 223-1559
Mailing address
33187 S 1ST RD, BEATRICE, NE 68310-5724
(402) 223-8187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20436
NE
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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