MRS. ROWENA BAUTISTA


Address: 107 Lake St, Bergenfield, NJ 07621-2855
Phone: 2018805674

MRS. ROWENA BAUTISTA (NPI# 1326498957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326498957
Entity Type Individual
Full Name MRS. ROWENA BAUTISTA
Credential APN
Practice Address 107 Lake St
Bergenfield
NJ 07621-2855
Practice Telephone 2018805674
Mailing Telephone 2018805674
Enumeration Date 2016-06-14
Last Update Date 2016-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00638000 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 107 LAKE ST
City BERGENFIELD
State NJ
Zip Code 07621-2855

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1528543733 Prosper Jerome Nurse Practitioner 15 S Queen St, Bergenfield, NJ 07621-1920 2018-10-03
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Competitor

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City BERGENFIELD
Zip Code 07621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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