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Angelica Ian Bautista
NPI 1013794429 · on the registry since 2023 · sole proprietor
Practice
- Address
- 315 Hospital Dr
Madison, TN 37115 - Phone
- (615) 732-7662
- Clinicians at this address
- 344
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee