John D Bautista, RN
Registered Nurse, Critical Care Medicine in San Francisco, CA. Individual provider (NPI-1).
NPI number1346940939
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1346940939
- Entity type
- Individual (NPI-1)
- Name
- John D Bautista
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2023
- Certification date
- Mar 3, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0200X | Registered Nurse, Critical Care Medicine | 95103469 | CA | Yes |
Practice location
860 Corbett Ave Apt 104San Francisco, CA 94131-1310
Phone 707-567-9272
Mailing address
860 Corbett Ave Apt 104San Francisco, CA 94131-1310
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