person
Mrs. Kathleen Jo Bautista, CRNP
Psychiatric/Mental Health Nurse Practitioner in Cambridge, Maryland
NPI 1558483867

Kathleen Jo Bautista is a Psychiatric/Mental Health Nurse Practitioner based in Cambridge, MD and is specialized in Psychiatric/Mental Health. Kathleen Jo Bautista practices in Cambridge, MD and has the professional credentials of CRNP. The NPI Number for Kathleen Jo Bautista is 1558483867 and holds a License No. R069915 (Maryland).

The current practice location address for Kathleen Jo Bautista is 813-1 Chesapeake Drive, Cambridge, MD and can be reached out via phone at 410-221-2266 and via fax at 410-221-2878.

Location: 813-1 Chesapeake Drive, Cambridge, MD, 21613-9401
person
Provider Profile Details
NPI Number
1558483867
Provider Name
Kathleen Jo Bautista
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
813-1 Chesapeake Drive, Cambridge, MD, 21613-9401
Phone Number
410-221-2266
Fax Number
410-221-2878
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499188 01 MD VO-MHA
609550002 05 MD
609550004 05 MD
479302100 05 MD
609550001 05 MD
institution
Provider Business Practice Location Address Details
Address
813-1 Chesapeake Drive
City
State
Zip
21613-9401
Phone Number
410-221-2266
Fax Number
410-221-2878
person
Provider Business Mailing Address Details
Address
813-1 Chesapeake Drive
City
State
Zip
21613-9401
Phone Number
410-221-2266
Fax Number
410-221-2878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R069915 (Maryland)
Definition
Definition to come...
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