Lookup NPI Numbers from the NPI Registry
NPI Profile for DIVINA GRACIA P BAUTISTA in PASADENA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI # | 1952810772 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/25/2017 | |
| Last updated | 10/02/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIVINA GRACIA P BAUTISTA
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DIVINA GRACIA P BAUTISTA, NP