Individual
MS. MARIAN RAMIREZ BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5401 W THUNDERBIRD RD # 101, GLENDALE, AZ 85306-4751
(602) 530-6189
Mailing address
8695 S 165TH AVE, GOODYEAR, AZ 85338-1448
(561) 309-4434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024174451
VA
363LF0000X
Family Nurse Practitioner
Primary
283624
AZ
Other
Enumeration date
04/26/2017
Last updated
06/28/2024
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