Individual
DANIELLE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
363 MAIN ST, SUITE C, REDWOOD CITY, CA 94063-1729
(650) 306-9490
(650) 306-0250
Mailing address
PO BOX 1848, NOVATO, CA 94948-1848
(415) 495-2225
(415) 495-2228
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012013516
CA
Other
Enumeration date
12/10/2012
Last updated
04/19/2016
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