Individual provider · Type 1 NPI
Gerjel A. Bautista, FNP-C
Primary Care Nurse Practitioner · Brentwood, CA
NPI number
1992573984
Active
Practice location
2455 Sand Creek Rd Ste 144
Brentwood, CA 94513-7176
Fax (925) 679-4888
Mailing address
803 Dunmore St
Oakley, CA 94561-2858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95028414 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Brentwood
About NPI 1992573984
Gerjel A. Bautista, FNP-C's National Provider Identifier is 1992573984, issued on Dec 19, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brentwood, CA. The record was last updated on Jun 6, 2024.