Individual provider · Type 1 NPI

Matthew Joseph Bautel, FNP-BC

Family Nurse Practitioner · Clarkston, MI

NPI number 1245951870 Active

Practice location

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824

Fax (833) 329-6632

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704341284 (MI)
Family Nurse Practitioner 363LF0000X2023000523 (MI)
Family Nurse Practitioner Primary 363LF0000X4704341284 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1245951870

Matthew Joseph Bautel, FNP-BC's National Provider Identifier is 1245951870, issued on Sep 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarkston, MI. The record was last updated on Apr 29, 2023.