Individual
LOURDES S BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
16461 SHERMAN WAY STE 160, VAN NUYS, CA 91406-3810
(818) 208-9388
(818) 208-9083
Mailing address
16461 SHERMAN WAY STE 160, VAN NUYS, CA 91406-3810
(818) 208-9388
(818) 208-9083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635480
CA
163WH0200X
Home Health Registered Nurse
635480
CA
163WI0500X
Infusion Therapy Registered Nurse
Primary
635480
CA
Other
Enumeration date
08/17/2021
Last updated
10/29/2025
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