Provider Demographics
NPI:1154873180
Name:BAYNE, ANN MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:BAYNE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3023 N BALLAS RD STE 150D
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2319
Mailing Address - Country:US
Mailing Address - Phone:314-996-5287
Mailing Address - Fax:314-432-6068
Practice Address - Street 1:3023 N BALLAS RD STE 150D
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2319
Practice Address - Country:US
Practice Address - Phone:314-996-5287
Practice Address - Fax:314-432-6068
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2021-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2016038189363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner