Bautista, Breanne Massung

Bautista, Breanne Massung is an individual health care provider with primary practice located at 550 Medical Center Blvd , Lawrenceville GA 30046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Bautista, Breanne Massung can be contacted via phone (378) 312-3970.

Contact Information

Primary practice address
550 Medical Center Blvd Lawrenceville GA 30046
Phone: (378) 312-3970
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN203901 Georgia

Profile Details

NPI number 1932676269
LBN Legal business name Bautista, Breanne Massung
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Oct 24th, 2018 - about 6 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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