Provider Demographics
NPI:1396384855
Name:BAYES, ERICKA JEAN (LICENSED VOCATIONAL)
Entity Type:Individual
Prefix:
First Name:ERICKA
Middle Name:JEAN
Last Name:BAYES
Suffix:
Gender:F
Credentials:LICENSED VOCATIONAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 MEREDITH ST
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-4911
Mailing Address - Country:US
Mailing Address - Phone:254-266-0424
Mailing Address - Fax:
Practice Address - Street 1:164 MEREDITH ST
Practice Address - Street 2:
Practice Address - City:WHITNEY
Practice Address - State:TX
Practice Address - Zip Code:76692-4911
Practice Address - Country:US
Practice Address - Phone:254-266-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183704164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse