Individual
MS. BETH MARY BAYKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN01123
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01123
WOMEN'S HEALTH NURSE PRACTITIONER
RI
Enumeration date
08/19/2005
Last updated
05/31/2018
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