Provider Demographics
NPI:1760677223
Name:BAYS, GABRIELLE ANN (AGPCNP-BC, RN-BC)
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:ANN
Last Name:BAYS
Suffix:
Gender:F
Credentials:AGPCNP-BC, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1300
Mailing Address - Country:US
Mailing Address - Phone:858-336-6932
Mailing Address - Fax:
Practice Address - Street 1:505 MARION AVE
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1300
Practice Address - Country:US
Practice Address - Phone:858-336-6932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA212612163WH0200X, 163WM0705X, 163WP0808X
MI4704335112363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health