DIVINA GRACIA P. BAUTISTA N.P. NPI 1952810772

NPI Information

NPI: 1952810772
Provider Name: DIVINA GRACIA P. BAUTISTA, N.P.
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1239 ADEN ROAD
PASADENA, CA
ZIP 91125
Phone: (626) 395-6393
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Divina Gracia P. Bautista, N.P. is a primary care nurse practitioner in Pasadena, CA. Divina Gracia P. Bautista, N.P. NPI is 1952810772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1239 ADEN ROAD
PASADENA, CA
ZIP 91125
Phone: (626) 395-6393
Fax: (626) 585-1522

The enumeration date for this NPI number is 9/25/2017 and was last updated on 10/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP7363	CALIFORNIA	No
2	363LS0200X	Nurse Practitioner	School	NP7363	CALIFORNIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	NP7363	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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