MRS. THERESA ELAINE BAIZE FNP BC NPI 1528106408

NPI Information

NPI: 1528106408
Provider Name: MRS. THERESA ELAINE BAIZE, FNP, BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3207 COUNTRY CLUB DR
VALDOSTA, GA
ZIP 31605
Phone: (229) 242-8480
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MRS. Theresa Elaine Baize, FNP, BC is a family nurse practitioner in Valdosta, GA. MRS. Theresa Elaine Baize, FNP, BC NPI is 1528106408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3207 COUNTRY CLUB DR
VALDOSTA, GA
ZIP 31605-029
Phone: (229) 242-8480
Fax: (229) 241-0252

The enumeration date for this NPI number is 2/2/2007 and was last updated on 10/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	156046	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	261356861	OTHER	GEORGIA	TRICARE
2	50BBJNB	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
3	Q48205	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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