Individual provider · Type 1 NPI
Yata Haja Bazzie, FNP
Psychiatric/Mental Health Nurse Practitioner · Clinton, MD
NPI number
1043888779
Active
Practice location
9409 Stream Valley Ln
Clinton, MD 20735-1924
Fax (240) 318-2001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN199031 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN199031 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1043888779
Yata Haja Bazzie, FNP's National Provider Identifier is 1043888779, issued on Jun 17, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clinton, MD. The record was last updated on Jul 9, 2026.