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Individual

MRS. CHELO BAUTISTA

Active
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Individual

MRS. CHELO BAUTISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR15552600
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01022700
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ01022700
NJ

Other

Enumeration date
01/30/2020
Last updated
11/27/2023
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