Individual
MICHELLE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 CATTLEMEN RD STE 204, SARASOTA, FL 34232-6212
(941) 326-3223
Mailing address
2606 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 202-0189
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11045432
FL
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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