Individual
ALEXIS ANNE BAUTOCHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
41680 MISS BESSIE DR STE 202, LEONARDTOWN, MD 20650-2964
(301) 475-3240
Mailing address
14090 HG TRUEMAN RD STE 1300, SOLOMONS, MD 20688-3151
(518) 527-9338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R221925
MD
Other
Enumeration date
06/25/2019
Last updated
08/01/2024
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