Individual
MS. HEATHER LYNN BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2600 RESEARCH CENTER DR, SUITE A, BLACKSBURG, VA 24060-6325
(540) 381-5291
(540) 381-7857
Mailing address
2013 JEFFERSON ST SW FL 2, ROANOKE, VA 24014-2419
(540) 982-0237
(540) 982-2719
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992172217
—
VA
Enumeration date
08/24/2015
Last updated
01/17/2017
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