Individual
MS. MARIAN BAUTISTA CID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.N.P.
Contact information
Practice address
3003 HIGHWAY 95, SUITE 39, BULLHEAD CITY, AZ 86429
(928) 758-1010
(928) 758-1428
Mailing address
3003 HIGHWAY 95, SUITE 39, BULLHEAD CITY, AZ 86429
(928) 758-1010
(928) 758-1428
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP1408
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145525
—
AZ
Enumeration date
06/25/2012
Last updated
10/24/2018
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