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ANAYA BAEZA DNP
Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1457985764
Individual Registrant: ANAYA BAEZA DNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8600 Fax: --
Tel: 850-883-8600 Fax: --
Contact information for business:
307 BOATNER RD STE 114 EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8600 Fax: --
Tel: 850-883-8600 Fax: --
Registration Information:
NPI: 1457985764
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health | TX | 1003226 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
