Individual provider · Type 1 NPI
Marius Jordan Bautista Agustin, BSN, RN, CCRN
Critical Care Medicine Registered Nurse · Loma Linda, CA
NPI number
1699695296
Active
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | RN9361873 (FL) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1699695296
Marius Jordan Bautista Agustin, BSN, RN, CCRN's National Provider Identifier is 1699695296, issued on Jul 16, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 16, 2026.