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Contact Information

SHANNON BAUTISTA
7169 FAIRWEATHER PARK LOOP
ANCHORAGE, AK99518-2277
 Phone: 251-463-6139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for SHANNON BAUTISTA · (Female)

NPI Number 1639570906
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2014
Last updated 09/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 29925
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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