Denise Jayne Baggott

Individual provider Active NPI Licensed Practical Nurse · Homestead, PA

NPI 1497350557 · NPPES record last updated Dec 4, 2020

Key facts

NPI
1497350557
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN267136 (PA)
Practice address
491 E 8TH Ave
Homestead, PA 15120-1901
Phone
(412) 464-2101
NPI assigned
Dec 4, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN267136PAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN267136 PA Yes

Addresses

Primary practice location

491 E 8TH Ave
Homestead, PA 15120-1901

Mailing address

491 E 8TH Ave
Homestead, PA 15120-1901

Other providers in Homestead, PA

All providers in Homestead, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.