Individual provider · Type 1 NPI

Maria Imelda Bautista-Durand, NP

Pediatric Nurse Practitioner · Los Angeles, CA

NPI number 1003183146 Active

Practice location

2400 S Flower St
Los Angeles, CA 90007-2629

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	513943 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1003183146

Maria Imelda Bautista-Durand, NP's National Provider Identifier is 1003183146, issued on Nov 17, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 17, 2011.