Individual
MRS. EMILY LYNN BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS AGACNP-BC
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
384 AMWELL RD UNIT 508, HILLSBOROUGH, NJ 08844-1280
(540) 907-2745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001192950
VA
163W00000X
Registered Nurse
RN1018223
DC
363LA2100X
Acute Care Nurse Practitioner
0024174292
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01023300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024174292
VIRGINIA BOARD OF NURSING LICENSED NURSE PRACTITIONER
VA
Enumeration date
05/26/2016
Last updated
05/16/2024
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