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

HORACIO BAUTISTA, CHW

Active

HORACIO BAUTISTA, CHW is a Community Health Worker healthcare provider located in DETROIT, Michigan. NPI 1073365300 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · DETROIT, MI

Registration Details

NPI Number
1073365300
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2024 (2.3273441075207 yrs)
Last Updated
Apr 2, 2024
License
95396184 (MI)

Practice Information

Address
111 W 7 MILE RD
DETROIT, MI, 482031968
Browse MI providers · Browse ZIP 48203
Phone
3133682600
Fax
3133692477
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in DETROIT, MI

Name Credential NPI
MS. FLORENSHIA JACKSON CHW 1548386881
EVALYN MARIE LESTER-ROACHE 1568635902
MS. ERICKA GABRIELLE PAGE M.A., CPC 1083852172
MR. KEVIN CHRISTOPHER KROUSE I CADC-II, DOT/SAP 1184863730
MS. SHARON MARIE DANNARD OTR 1710112891
DENINA WILFORD 1548598832
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.