Individual
ALEJANDRO ANDRES BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2000
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-4405
(860) 679-2000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
134050
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
7987
CT
Other
Enumeration date
11/08/2018
Last updated
03/02/2024
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