Individual
NANCY S BAYLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
212 S VAN RENSSELAER ST, RENSSELAER, IN 47978-2817
(219) 866-5661
(219) 866-8705
Mailing address
PO BOX 260, RENSSELAER, IN 47978-0260
(219) 866-5661
(219) 866-8705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002094A
IN
Other
Enumeration date
12/21/2005
Last updated
08/02/2010
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