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Individual

DR. ERICKSON CRUZ BAUTISTA

Active
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Individual

DR. ERICKSON CRUZ BAUTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.N.P

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
715867
CA
163WG0600X
Gerontology Registered Nurse
822775
NV
363L00000X
Nurse Practitioner
95002040
CA
363LA2200X
Adult Health Nurse Practitioner
822775
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
95002040
CA
363LG0600X
Gerontology Nurse Practitioner
822775
NV
363LG0600X
Gerontology Nurse Practitioner
95002040
CA

Other

Enumeration date
01/31/2015
Last updated
05/17/2023
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