Provider Demographics
NPI:1447638135
Name:BAYE, MARIE (MSN, RN, FNP-BC, CNL)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:BAYE
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC, CNL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1028
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47547-1028
Mailing Address - Country:US
Mailing Address - Phone:812-996-8478
Mailing Address - Fax:812-996-8497
Practice Address - Street 1:4 W VINE ST
Practice Address - Street 2:
Practice Address - City:DALE
Practice Address - State:IN
Practice Address - Zip Code:47523-9061
Practice Address - Country:US
Practice Address - Phone:812-937-7140
Practice Address - Fax:812-937-7145
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28221509A163W00000X
IN2014019003363L00000X
IN71005849A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner