Individual
MR. EVERETT HENRY BAYLISS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN CNP
Contact information
Practice address
121-123 W. MAINE STREET, EMMITSBURG, MD 21727
(301) 447-3310
Mailing address
PO BOX 3002, GETTYSBURG, PA 17325-0002
(614) 507-9604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R122359
MD
163W00000X
Registered Nurse
RN700615
PA
363LF0000X
Family Nurse Practitioner
Primary
R122359
MD
363LF0000X
Family Nurse Practitioner
SP018374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679838
—
OH
Enumeration date
05/03/2007
Last updated
04/10/2019
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