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Jefferson Aquino Bautista, NP-BC
Family Nurse Practitioner in Anaheim, California
NPI 1336218734

Jefferson Aquino Bautista is a Family Nurse Practitioner based in Anaheim, CA and is specialized in Family. Jefferson Aquino Bautista practices in Anaheim, CA and has the professional credentials of NP-BC. The NPI Number for Jefferson Aquino Bautista is 1336218734 and holds a License No. 16338 (California).

The current practice location address for Jefferson Aquino Bautista is 1211 W La Palma Ave Ste 404, Anaheim, CA and can be reached out via phone at 714-772-8282 and via fax at 714-772-6493. You can also correspond with Jefferson Aquino Bautista through the mailing address at PO BOX 15090, ANAHEIM, CA - 92803-5090 (mailing address contact number: 714-577-2121).

Location: 1211 W La Palma Ave Ste 404, Anaheim, CA, 92803-5090
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Provider Profile Details
NPI Number
1336218734
Provider Name
Jefferson Aquino Bautista
Credential
NP-BC
Provider Entity Type
Individual
Gender
Male
Address
1211 W La Palma Ave Ste 404, Anaheim, CA, 92803-5090
Phone Number
714-772-8282
Fax Number
714-772-6493
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
486995 01 CA RN
institution
Provider Business Practice Location Address Details
Address
1211 W La Palma Ave Ste 404
City
State
Zip
92801-2806
Phone Number
714-772-8282
Fax Number
714-772-6493
person
Provider Business Mailing Address Details
Address
1211 W La Palma Ave Ste 404
City
State
Zip
92801-2806
Phone Number
714-772-8282
Fax Number
714-772-6493
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
16338 (California)
Definition
Definition to come...
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