Individual
ABIGAIL NICOLE BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-BC
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0001
(409) 772-1011
Mailing address
2753 PANZANO LN, LEAGUE CITY, TX 77573-6853
(713) 530-1498
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
S6858
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1158837
TX
Other
Enumeration date
05/10/2024
Last updated
03/06/2026
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