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Contact Information

BRILLANTE M BAYACA, RN
4603 FONSO DR
KNIGHTDALE, NC27545-6129
 Phone: 336-575-8693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for BRILLANTE M BAYACA · (Male)

NPI # 1942750757
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/05/2016
Last updated 10/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 127063
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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