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Individual

DIANE MARIE BAJUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CNP, CNM, PHD

Contact information

Practice address
927 W DESERT COVE AVE, PHOENIX, AZ 85029
(602) 579-2436
(602) 274-0470
Mailing address
927 W DESERT COVE AVE, PHOENIX, AZ 85029-5118
(602) 579-2436
(602) 274-0470

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209002216
IL
363L00000X
Nurse Practitioner
Primary
AP2967
AZ
367A00000X
Advanced Practice Midwife
209002216
IL
367A00000X
Advanced Practice Midwife
AP2967
AZ

Other

Enumeration date
04/03/2007
Last updated
08/10/2018
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