DR. ERICKSON CRUZ BAUTISTA D.N.P NPI 1285024083

NPI Information

NPI: 1285024083
Provider Name: DR. ERICKSON CRUZ BAUTISTA, D.N.P
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: ANOUSHEH ASHOURI INC

PECOS Registration: Yes

Address:
1500 E TROPICANA AVE STE 127
LAS VEGAS, NV
ZIP 89119
Phone: (877) 505-6828
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DR. Erickson Cruz Bautista, D.N.P is an adult health nurse practitioner in Las Vegas, NV with 10 years of experience. DR. Erickson Cruz Bautista, D.N.P NPI is 1285024083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E TROPICANA AVE STE 127
LAS VEGAS, NV
ZIP 89119-313
Phone: (877) 505-6828
Fax: (877) 550-3633

The NPI 1285024083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2015 and was last updated on 10/16/2021.

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	163WG0600X	Registered Nurse	Gerontology	822775	NEVADA	No
2	363L00000X	Nurse Practitioner		95002040	CALIFORNIA	No
3	363LA2200X	Nurse Practitioner	Adult Health	95002040	CALIFORNIA	Yes
4	163W00000X	Registered Nurse		715867	CALIFORNIA	No
5	363LA2200X	Nurse Practitioner	Adult Health	822775	NEVADA	No
6	363LG0600X	Nurse Practitioner	Gerontology	95002040	CALIFORNIA	No
7	363LG0600X	Nurse Practitioner	Gerontology	822775	NEVADA	No

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: 11/14/2023

NPI Synchronization or Removal

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