SearchNew Mexico163WE0003X

Edgar Allan Bautista, RN

NPI 1760230809 · on the registry since 2024 · sole proprietor

Practice

Address
Po Box 160
Shiprock, NM 87420
Phone
(505) 368-6001
Clinicians at this address
14

Registry record

Primary taxonomy
163WE0003X
163WE0003X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-13

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 New Mexico