Lina Judith Bautista in Anchorage - Child & Adolescent Psychiatry

Lina Judith Bautista - NPI 1982625596

Lina Judith Bautista is a Child & Adolescent Psychiatry in Anchorage, Alaska. Lina Judith Bautista practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Lina Judith Bautista is 1982625596. The last update date is 2007-07-08.

Lina Judith Bautista's current location address is 2800 Providence Dr, Anchorage, Alaska. You can contact this provider via phone number 9072697152 and fax number 9072697251. The mailing address for Lina Judith Bautista is 2800 Providence Dr, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Lina Judith Bautista
Address 2800 Providence Dr, Anchorage, Alaska
Phone Number 9072697152
Fax Number 9072697251
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1982625596
Provider Enumeration Date 2006-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2800 Providence Dr
City Anchorage
State Alaska (AK)
Post Code 995084623
Phone Number 9072697152
Fax Number 9072697251

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 2785
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD02182 AK --

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FAQs about Lina Judith Bautista

What is the Lina Judith Bautista's unique identification number?

The Lina Judith Bautista has been assigned the NPI (National Provider Identifier) Number 1982625596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Lina Judith Bautista is physically located?

The Lina Judith Bautista is physically situated at the following address: 2800 Providence Dr, Anchorage, AK, 995084623.

What is the Lina Judith Bautista's specialty and taxonomy code?

The Lina Judith Bautista's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982625596 to Lina Judith Bautista?

The Lina Judith Bautista received its 1982625596 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information pertaining to Lina Judith Bautista most recently updated or revised?

The details related to Lina Judith Bautista, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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