Whitney Baeza
Individual provider Active NPI Licensed Vocational Nurse · Fort Stewart, GA
NPI 1639542012 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1639542012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 313970 (TX)
- Practice address
- 1061 Harmon Ave
Fort Stewart, GA 31314-5641 - Phone
- (915) 540-9548
- NPI assigned
- Nov 5, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 313970 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 313970 | TX | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (915) 540-9548
Other providers in Fort Stewart, GA
- Maria Del Carmen Aviles
- Ludovic Azafack Tsague
- Thomas Allen Babb
- Sean Michael Bacha
- Christine Baehr
- Doris Walker Baidy
- Jasmine Nichole Bailey
- Daniel Wayne Baker
- Elizabeth Leigh Baker
- Jeffrey Baker
All providers in Fort Stewart, GA · Licensed Vocational Nurse in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.