Provider Demographics
NPI:1235804469
Name:BAIZE, STEPHANY ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANY
Middle Name:ELIZABETH
Last Name:BAIZE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:STEPHANY
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:10101 COLT LN
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9009
Mailing Address - Country:US
Mailing Address - Phone:321-689-8021
Mailing Address - Fax:
Practice Address - Street 1:3090 CARUSO CT STE 50
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-8510
Practice Address - Country:US
Practice Address - Phone:321-689-8021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014641363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily