Bautista, Audrey Ann

Bautista, Audrey Ann is an sole proprietor health care provider with primary practice located at Nw Metro Va Clinic 1760 Grande Blvd, Rio Rancho NM 87124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bautista, Audrey Ann can be contacted via phone (505) 896-7200.

Contact Information

Primary practice address
Nw Metro Va Clinic 1760 Grande Blvd Rio Rancho NM 87124
Phone: (505) 896-7200
Fax: (505) 994-4285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01570 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP-01570 New Mexico

Profile Details

NPI number 1003180423
LBN Legal business name Bautista, Audrey Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2012
Last updated Mar 1st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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