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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AUDREY ANN BAUTISTA, NP

Active Sole Proprietor

Nurse Practitioner · RIO RANCHO, NM

Registration Details

NPI Number
1003180423
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2012 (14.137221498329 yrs)
Last Updated
Mar 1, 2019
Licenses
CNP-01570 (NM)
CNP-01570 (NM)
Sole Proprietor
Yes

Practice Information

Address
NW METRO VA CLINIC
1760 GRANDE BLVD
RIO RANCHO, NM, 87124
Browse NM providers · Browse ZIP 87124
Phone
5058967200
Fax
5059944285
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in RIO RANCHO, NM

Name Credential NPI
MRS. PAULETTE H. HERMAN CNP 1609875210
LYNN HEALER NP 1578598686
CHRISTINE BLASER FNP 1134153349
BRIDGET GOLDFARB CFNP 1619983327
MS. JUDITH L. GILLUM R.N., C.N.P. 1447359138
SHAWNA PATRICE MARION CNP 1043379456
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.