Individual
ROAN SANTOS BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(781) 259-8565
Mailing address
6 FUYAT ST, HUDSON, MA 01749-1502
(978) 881-4677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN273897
MA
Other
Enumeration date
10/25/2022
Last updated
01/15/2025
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