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Contact Information

BECKY M BAUTCH, AGACNP-BC
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID83648-1062
 Phone: 208-828-7900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BECKY M BAUTCH · (Female)

NPI Number 1225432842
Status Active
Credentials AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner)
Entity Individual
Enumeration date 10/09/2014
Last updated 07/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1424
  • MN License # 1590072
  • MN License # 477
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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