Search › Indiana › 207RN0300X
Nicole Bautista, M.D
NPI 1558596585 · on the registry since 2009
Practice
- Address
- 606 Lincolnway
Valparaiso, IN 46383 - Phone
- (219) 462-6001
- Organisation at this address
- Trc - Indiana, Llc
Luxe Life Medical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207RN0300X
207RN0300X
- Also registered as
- 207R00000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-17
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 Indiana