person
Ms. Samantha E Bazan, FNP-C
Family Nurse Practitioner in Fort Stewart, Georgia
NPI 1518191600

Samantha E Bazan is a Family Nurse Practitioner based in Fort Stewart, GA and is specialized in Family. Samantha E Bazan practices in Fort Stewart, GA and has the professional credentials of FNP-C. The NPI Number for Samantha E Bazan is 1518191600 and holds a License No. 0001191133 (Georgia).

The current practice location address for Samantha E Bazan is 1061 Harmon Ave, Fort Stewart, GA and can be reached out via phone at 912-435-6365. You can also correspond with Samantha E Bazan through the mailing address at 1061 HARMON AVE, FORT STEWART, GA - 31314-5641 (mailing address contact number: 912-435-6965).

Location: 1061 Harmon Ave, Fort Stewart, GA, 31314-5641
person
Provider Profile Details
NPI Number
1518191600
Provider Name
Samantha E Bazan
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1061 Harmon Ave, Fort Stewart, GA, 31314-5641
Phone Number
912-435-6365
Fax Number
Provider Enumeration Date
05/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-6365
Fax Number
person
Provider Business Mailing Address Details
Address
1061 Harmon Ave
City
State
Zip
31314-5641
Phone Number
912-435-6965
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
0024174619 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0001191133 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
0024174619 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0001191133 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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