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NPI Code Detail

MEDICARE: MARIA VANESSA BATISTA APRN

MEDICARE: MARIA VANESSA BATISTA APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11020575FL
2363L00000XNurse Practitioner11020575FL

General Provider Information

NPI Number : 1134856172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA VANESSA BATISTA APRN
Provider Business Mailing Address
First Line : 509 ALBERT CT
Second Line :
City : SAINT AUGUSTINE
State : FL
Zip : 32092-1736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3588
Country : US
Telephone Number : 904-802-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2022
Last Update Date : 01/30/2025

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Directions to “ MARIA VANESSA BATISTA APRN” Practice Location

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