Provider Demographics
NPI:1649422254
Name:BAYNARD, ALLISON DAWN (CRNP-F)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:DAWN
Last Name:BAYNARD
Suffix:
Gender:F
Credentials:CRNP-F
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:DAWN
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP-F
Mailing Address - Street 1:503 MUIR ST STE A
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1848
Mailing Address - Country:US
Mailing Address - Phone:410-228-4045
Mailing Address - Fax:833-908-2286
Practice Address - Street 1:503 MUIR ST STE A
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1848
Practice Address - Country:US
Practice Address - Phone:410-228-4045
Practice Address - Fax:339-082-2868
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily