Bautista, Pearl O.

Bautista, Pearl O. is an individual health care provider with primary practice located at 601 Broadway Fl 6 , Seattle WA 98122-5330. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Bautista, Pearl O. can be contacted via phone (206) 386-2600.

Contact Information

Primary practice address
601 Broadway Fl 6 Seattle WA 98122-5330
Phone: (206) 386-2600
Fax: (206) 622-1644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN00128124 Washington

Profile Details

NPI number 1356013395
LBN Legal business name Bautista, Pearl O.
Credentials RN, RNFA, CNOR
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2021
Last updated Nov 18th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356013395 NPPES
Washington MEDICAID 2194567

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