Healthcare Provider Details

I. General information

NPI: 1386564599
Provider Name (Legal Business Name): EMELY BAEZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FREMONT ST
SAN FRANCISCO CA
94105-2204
US

IV. Provider business mailing address

45 FREMONT ST STE 1200
SAN FRANCISCO CA
94105-2204
US

V. Phone/Fax

Practice location:
  • Phone: 844-803-0210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1047653
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: