Individual
PATRICIA ELENA BAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 MAIN ST, MUNSTER, IN 46321-4066
(866) 389-2727
Mailing address
801 MAIN ST, MUNSTER, IN 46321-4066
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209008072
IL
363LF0000X
Family Nurse Practitioner
Primary
71002800A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000621848
ANTHEM BCBS
IN
05
—
200950870
—
IN
Enumeration date
01/15/2009
Last updated
08/08/2024
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