Individual provider · Type 1 NPI

Elizabeth Gallegos Bautista, NURSE PRACTITIONER

Family Nurse Practitioner · Duarte, CA

NPI number 1609172303 Active

Practice location

1500 E. Duarte Road
Duarte, CA 91010

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XNP20189 (CA)
Family Nurse Practitioner Primary 363LF0000X20189 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1609172303

Elizabeth Gallegos Bautista, NURSE PRACTITIONER's National Provider Identifier is 1609172303, issued on Jan 28, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duarte, CA. The record was last updated on Nov 12, 2020.