person
Divina Gracia P. Bautista, NP
Primary Care Nurse Practitioner in Pasadena, California
NPI 1952810772

Divina Gracia P. Bautista is a Primary Care Nurse Practitioner based in Pasadena, CA and is specialized in Primary Care. Divina Gracia P. Bautista practices in Pasadena, CA and has the professional credentials of NP. The NPI Number for Divina Gracia P. Bautista is 1952810772 and holds a License No. NP7363 (California).

The current practice location address for Divina Gracia P. Bautista is 1239 Aden Road, Pasadena, CA and can be reached out via phone at 626-395-6393 and via fax at 626-585-1522.

Location: 1239 Aden Road, Pasadena, CA, 91125
person
Provider Profile Details
NPI Number
1952810772
Provider Name
Divina Gracia P. Bautista
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1239 Aden Road, Pasadena, CA, 91125
Phone Number
626-395-6393
Fax Number
626-585-1522
Provider Enumeration Date
09/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1239 Aden Road
City
State
Zip
91125
Phone Number
626-395-6393
Fax Number
626-585-1522
person
Provider Business Mailing Address Details
Address
1239 Aden Road
City
State
Zip
91125
Phone Number
626-395-6393
Fax Number
626-585-1522
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP7363 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
NP7363 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
School
Taxonomy
License No.
NP7363 (California)
Definition
Definition to come...
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