Provider Demographics
NPI:1225398829
Name:BATISTA, DAYSI
Entity Type:Individual
Prefix:
First Name:DAYSI
Middle Name:
Last Name:BATISTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11508 ELKIN ST
Mailing Address - Street 2:AP 204
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2856
Mailing Address - Country:US
Mailing Address - Phone:240-304-3047
Mailing Address - Fax:
Practice Address - Street 1:11508 ELKIN ST
Practice Address - Street 2:AP 204
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-2856
Practice Address - Country:US
Practice Address - Phone:240-304-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDB323135060711374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide