Janet Baggett

Individual provider Active NPI Registered Nurse · Marina, CA

NPI 1689293045 · NPPES record last updated Apr 15, 2020

Key facts

NPI
1689293045
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
849272 (CA)
Practice address
617 Bayonet Cir
Marina, CA 93933-4600
Phone
(831) 384-7251
NPI assigned
Apr 15, 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
849272CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 849272 CA Yes

Addresses

Primary practice location

617 Bayonet Cir
Marina, CA 93933-4600

Mailing address

617 Bayonet Cir
Marina, CA 93933-4600
Phone (831) 384-7251

Other providers in Marina, CA

All providers in Marina, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.