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Individual

JUSTIN BAGGETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, DNP, RN

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821944
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
832884
NV

Other

Enumeration date
06/12/2025
Last updated
07/24/2025
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