Individual
DIANNE YVONNE BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
14003 LAKESHORE BLVD, HUDSON, FL 34667-7124
(727) 868-9442
(727) 868-9442
Mailing address
14003 LAKESHORE BLVD, #200, HUDSON, FL 34667-7124
(727) 868-9442
(727) 862-6210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1859262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307043300
—
FL
01
—
430072717
RR MEDICARE
FL
01
—
G0105
BCBS
FL
Enumeration date
12/05/2005
Last updated
02/14/2017
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