Individual provider · Type 1 NPI

Jefferson Aquino Bautista, NP-BC

Family Nurse Practitioner · Anaheim, CA

NPI number 1336218734 Active

Practice location

1211 W La Palma Ave Ste 404
Anaheim, CA 92801-2806

Fax (714) 772-6493

Mailing address

PO Box 15090
Anaheim, CA 92803-5090

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X16338 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1336218734

Jefferson Aquino Bautista, NP-BC's National Provider Identifier is 1336218734, issued on Nov 7, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anaheim, CA. The record was last updated on Dec 24, 2020.