Bautista, Marylou

Bautista, Marylou is an sole proprietor health care provider with primary practice located at 5001 N Piedras St , El Paso TX 79930-4210. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Wound Care. Nursing Service Providers / Wound Care is her primary health care specialty. Bautista, Marylou can be contacted via phone (915) 564-6100.

Contact Information

Primary practice address
5001 N Piedras St El Paso TX 79930-4210
Phone: (915) 564-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 579631 Texas
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 579631 Texas
Nursing Service Providers / Wound Care 163WW0000X 579631 Texas

Profile Details

NPI number 1821233552
LBN Legal business name Bautista, Marylou
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 2008 - about 16 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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