Bautista, Divina Gracia P.

Bautista, Divina Gracia P. is an individual health care provider with primary practice located at 1239 Aden Road , Pasadena CA 91125. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bautista, Divina Gracia P. can be contacted via phone (626) 395-6393.

Contact Information

Primary practice address
1239 Aden Road Pasadena CA 91125
Phone: (626) 395-6393
Fax: (626) 585-1522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP7363 California
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X NP7363 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP7363 California

Profile Details

NPI number 1952810772
LBN Legal business name Bautista, Divina Gracia P.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2017
Last updated Oct 2nd, 2017 - about 7 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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