Edgar Allan Bautista, RN
NPI #1760230809 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1760230809
- Entity Type
- Individual
- Name
- Edgar Allan Bautista, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - Emergency
- Credential
- RN
- Enumeration Date
- May 13, 2024
- Last Updated
- May 13, 2024
Practice Location
- Address
- PO BOX 160
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420-0160
- Phone
- (505) 368-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
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