Individual provider · Type 1 NPI

Jose L. Bazan, FNP-C

Family Nurse Practitioner · Modesto, CA

NPI number 1437784469 Active

Practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

5418 Flintridge Ct
Riverbank, CA 95367-9431

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95014164 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1437784469

Jose L. Bazan, FNP-C's National Provider Identifier is 1437784469, issued on Mar 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Mar 10, 2020.