Provider Demographics
NPI:1104680115
Name:BAYNES, TRICIA L
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:L
Last Name:BAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1792 GLOUCESTER DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-3710
Mailing Address - Country:US
Mailing Address - Phone:513-304-3006
Mailing Address - Fax:
Practice Address - Street 1:1792 GLOUCESTER DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3710
Practice Address - Country:US
Practice Address - Phone:513-304-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider