Provider Demographics
NPI:1477384535
Name:SINCLAIR, BAYLEE CARLENE
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:CARLENE
Last Name:SINCLAIR
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 1:808 WASHAKIE ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-2746
Mailing Address - Country:US
Mailing Address - Phone:573-248-4014
Mailing Address - Fax:
Practice Address - Street 1:808 WASHAKIE ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-2746
Practice Address - Country:US
Practice Address - Phone:573-248-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant