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Individual

ALYSA M BAYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815
Mailing address
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104-2820
(817) 820-4906
(817) 820-4815

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
658088
TX

Other

Enumeration date
11/17/2011
Last updated
01/31/2012
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