Individual
MRS. CHELO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR15552600
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01022700
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ01022700
NJ
Other
Enumeration date
01/30/2020
Last updated
11/27/2023
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