Bao, Taijan

Bao, Taijan is an individual health care provider with primary practice located at 1860 Town Center Pkwy #G100 Reston Surgery Center, Reston VA 20190-3219. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bao, Taijan can be contacted via phone (703) 471-0919.

Contact Information

Primary practice address
1860 Town Center Pkwy #G100 Reston Surgery Center Reston VA 20190-3219
Phone: (703) 471-0919
Fax: (703) 742-9081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001160550 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024160550 Virginia

Profile Details

NPI number 1932187440
LBN Legal business name Bao, Taijan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932187440 NPPES
Other P00195597 RAILROAD MEDICARE

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