MRS. Jacqueline Ann Bautista, CRNA

NPI #1205043015 in Elmhurst, Illinois

Provider Information

NPI Number
1205043015
Entity Type
Individual
Name
MRS. Jacqueline Ann Bautista, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
200 N BERTEAU AVE
ZIP Code
60126-2966
Phone
(630) 833-1400

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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