FREDDIE BAUTISTA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1124857826- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 220 W JERSEY ST APT 1B, ELIZABETH, NJ, 072021314
- Phone
- (908) 230-8785
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
Primary License: NJ #26NJ15087100