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Becky Bautch, AGACNP-BC

NPI 1225432842 · on the registry since 2014

Practice

Address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7900
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
163W00000X
364SG0600X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-28

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 Idaho