Individual provider · Type 1 NPI
Mary Margaret Bazaldua, ARNP
Family Nurse Practitioner · Jacksonville, FL
NPI number
1124070446
Active
Practice location
6817 Southpoint Pkwy, Suite 2304
Jacksonville, FL 32216-6282
Fax (904) 296-1877
Mailing address
4049 Mcgirts Blvd
Jacksonville, FL 32210-4340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9234572 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124070446
Mary Margaret Bazaldua, ARNP's National Provider Identifier is 1124070446, issued on May 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.