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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932187440 | NPPES |
| Other | P00195597 | RAILROAD MEDICARE |
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