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Individual
ELIZABETH JEAN BAEZ
Active
Individual
ELIZABETH JEAN BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
101.00072446
VT
363LP0200X
Pediatric Nurse Practitioner
275033
MA
363LP0200X
Pediatric Nurse Practitioner
382131
NY
363LP0200X
Pediatric Nurse Practitioner
4125
CT
363LP0200X
Pediatric Nurse Practitioner
AP 3252
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
NP 21654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
VT
Enumeration date
01/26/2009
Last updated
11/02/2012
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