Individual
NEIL NAVALES BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2901 TELESTAR CT STE 200, FALLS CHURCH, VA 22042-1262
(703) 573-3494
(703) 573-5353
Mailing address
1221 S EADS ST APT 1408, ARLINGTON, VA 22202-4725
(805) 252-9549
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001286879
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181168
VA
363LP2300X
Primary Care Nurse Practitioner
0024181168
VA
Other
Enumeration date
03/25/2021
Last updated
08/25/2021
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