Bautista, Nicole Marie

Bautista, Nicole Marie is an individual health care provider with primary practice located at 606 Lincolnway , Valparaiso IN 46383-5728. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Bautista, Nicole Marie can be contacted via phone (219) 462-6001.

Contact Information

Primary practice address
606 Lincolnway Valparaiso IN 46383-5728
Phone: (219) 462-6001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-055752 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01074301A Indiana

Profile Details

NPI number 1558596585
LBN Legal business name Bautista, Nicole Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated Dec 17th, 2021 - 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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