Individual
DR. JOHN PAULO BATUCAN BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
4515 S MCCLINTOCK DR STE 120, TEMPE, AZ 85282-7381
(480) 704-3700
Mailing address
525 W BROWN RD FL 7, MESA, AZ 85201-3202
(480) 684-8350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN165012
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11735
AZ
Other
Enumeration date
01/31/2019
Last updated
10/27/2022
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