Individual
CARLY ELENA BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4019 W EL PRADO BLVD, TAMPA, FL 33629-8524
(813) 753-8583
Mailing address
3825 HENDERSON BLVD STE 303, TAMPA, FL 33629-5021
(813) 279-1201
(850) 655-1295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9514103
FL
363LF0000X
Family Nurse Practitioner
Primary
0004242-C-NP
CO
363LF0000X
Family Nurse Practitioner
11020198
FL
Other
Enumeration date
04/19/2022
Last updated
11/11/2025
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