Individual
CYNTHIA ALISA BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, APRN
Contact information
Practice address
1177 MILL PLAIN RD, FAIRFIELD, CT 06824-3813
(203) 394-2542
Mailing address
1177 MILL PLAIN RD, FAIRFIELD, CT 06824-3813
(203) 394-2542
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
XXXXXXXX
CT
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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