Individual provider · Type 1 NPI
Mary Stephanie Gangcuangco Bautista, FNP
Family Nurse Practitioner · Murrieta, CA
NPI number
1437506581
Active
Practice location
28062 Baxter Rd
Murrieta, CA 92563-1401
Mailing address
3853 W Stetson Ave
Hemet, CA 92545-9674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95005578 (CA) |
| Registered Nurse | 163W00000X | 676857 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1437506581
Mary Stephanie Gangcuangco Bautista, FNP's National Provider Identifier is 1437506581, issued on May 18, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Murrieta, CA. The record was last updated on Mar 5, 2026.