Individual
CARMINA TERESA V BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APRN,BC-ADM
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2116
(757) 953-0838
Mailing address
5101 CLIPPER COVE LN, SUFFOLK, VA 23435-3516
(757) 484-6860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024068957
VA
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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