Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR ALLAN BAUTISTA, RN
Active Sole ProprietorEDGAR ALLAN BAUTISTA, RN is a Emergency Nurse healthcare provider located in SHIPROCK, New Mexico. NPI 1760230809 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · SHIPROCK, NM
Registration Details
- NPI Number
- 1760230809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2024 (2.2758130231161 yrs)
- Last Updated
- May 13, 2024
- License
-
95330098 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 160SHIPROCK, NM, 874200160Browse NM providers · Browse ZIP 87420
- Phone
- 5053686001
- Primary Specialty
-
Emergency Nurse
163WE0003X
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.