Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Taye Baltazar

Individual provider Community/Behavioral Health Agency · NPI 1336905306

Nicole Taye Baltazar is a Community/Behavioral Health Agency in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2024

Practice location Address checks out

517 Fairmile Dr
Greensboro, NC 27455-9361
Phone: (336) 254-8797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X (NC)

Record details

NPI number1336905306
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 26, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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