Individual provider · Type 1 NPI
Johanne Bazelais
Licensed Practical Nurse · Florida City, FL
NPI number
1780554139
Active
Practice location
1380 N Krome Ave Ste 101
Florida City, FL 33034-2406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | PN5260361 (FL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Another provider at this address
About NPI 1780554139
Johanne Bazelais's National Provider Identifier is 1780554139, issued on Nov 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Florida City, FL. The record was last updated on Nov 10, 2025.