Provider Demographics
NPI:1285697052
Name:BAYNTON, STEPHANIE DREWRY (MSN)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:DREWRY
Last Name:BAYNTON
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:CLINIC 1 11AC
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-224-1904
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:CLINIC 1 11AC
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-224-1904
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0015000585364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical