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Search › Georgia › 363LF0000X

Samantha Bazan, FNP-C

NPI 1518191600 · on the registry since 2009

Practice

Address
1061 Harmon Ave
Fort Stewart, GA 31314
Phone
(912) 435-6365
Organisation at this address
U.S. Army
Federal Government
Ach Winn-Ft Stewart
Winn Army Community
Ach Winn-Ft Stewart
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,116

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163WC1500X
363LP2300X
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia