| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JANICE BAUTISTA | 1326699372 | 2023-03-12 |
Janice Bautista is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326699372. Registration indicates Janice Bautista is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Janice Bautista PA-C |
| Practice Office Address | 888 S RANCHO DR LAS VEGAS, NV US |
| Practice Office Telephone | 7028775199 |
| Mailing Address | 888 S RANCHO DR LAS VEGAS, NV 891063810 US |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA2547
NV |