# ELIZABETH JEAN BAEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659519940
- **Gender:** F
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | NP 21654 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2009
- **Last updated:** 11/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | VT |