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Marivic R Bautista, ARNP
Family Nurse Practitioner in Tacoma, Washington
NPI 1841560471

Marivic R Bautista is a Family Nurse Practitioner based in Tacoma, WA and is specialized in Family. Marivic R Bautista practices in Tacoma, WA and has the professional credentials of ARNP. The NPI Number for Marivic R Bautista is 1841560471 and holds a License No. AP60247432 (Washington).

The current practice location address for Marivic R Bautista is 1149 Market St, Tacoma, WA and can be reached out via phone at 253-552-4117.

Location: 1149 Market St, Tacoma, WA, 98402-3515
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Provider Profile Details
NPI Number
1841560471
Provider Name
Marivic R Bautista
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1149 Market St, Tacoma, WA, 98402-3515
Phone Number
253-552-4117
Fax Number
Provider Enumeration Date
01/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0291302 01 WA L&I
0291280 01 WA L&I
0291446 01 WA L&I
G8908141 01 WA MEDICARE
0291299 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
1149 Market St
City
State
Zip
98402-3515
Phone Number
253-552-4117
Fax Number
person
Provider Business Mailing Address Details
Address
1149 Market St
City
State
Zip
98402-3515
Phone Number
253-552-4117
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60247432 (Washington)
Definition
Definition to come...
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