Most Relevant Information
Provider Data
| NPI Number: | 1003640491 |
| Provider Name: | KATIE ROSE BAEZA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 372790 |
Most Important Dates
| Enumeration Date: | 08/28/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
50 BIRDIE DR
WHISPERING PINES
NC
283279492
Practice Location Phone/Fax
| Phone: | 4146148529 |
| Fax: |
Provider Mailing Location
50 BIRDIE DR
WHISPERING PINES
NC
283279492
Provider Mailing Phone/Fax
| Phone: | 4146148529 |
| Fax: |