Bautista, Tara M.

Bautista, Tara M. is an individual health care provider with primary practice located at 5555 Cleveland Ave , Columbus OH 43231-4048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bautista, Tara M. can be contacted via phone (614) 788-5280.

Contact Information

Primary practice address
5555 Cleveland Ave Columbus OH 43231-4048
Phone: (614) 788-5280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.17460-NP Ohio

Profile Details

NPI number 1205219375
LBN Legal business name Bautista, Tara M.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Mar 22nd, 2018 - about 8 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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