Individual provider · Type 1 NPI

Terah Bautista, FNP-C

Nurse Practitioner · Fort Wayne, IN

NPI number 1801597315 Active

Practice location

10620 Corporate Dr
Fort Wayne, IN 46845-1711

Call (260) 266-7100 Map

Fax (260) 266-6695

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71013802A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

7 other providers at this address

Other nurse practitioner providers in Fort Wayne

See all in Fort Wayne →

About NPI 1801597315

Terah Bautista, FNP-C's National Provider Identifier is 1801597315, issued on Mar 13, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 2, 2025.