Jacqueline Ann Bautista in Elmhurst - Nurse Anesthetist, Certified Registered
Jacqueline Ann Bautista - NPI 1205043015
Jacqueline Ann Bautista is a Nurse Anesthetist, Certified Registered in Elmhurst, Illinois. Jacqueline Ann Bautista practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jacqueline Ann Bautista is 1205043015. The last update date is 2007-07-08.
Jacqueline Ann Bautista's current location address is 200 N Berteau Ave, Elmhurst, Illinois. You can contact this provider via phone number 6308331400 and fax number 6309414597. The mailing address for Jacqueline Ann Bautista is 200 N Berteau Ave, Elmhurst, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Ann Bautista |
|---|---|
| Address | 200 N Berteau Ave, Elmhurst, Illinois |
| Phone Number | 6308331400 |
| Fax Number | 6309414597 |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1205043015 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 N Berteau Ave |
|---|---|
| City | Elmhurst |
| State | Illinois (IL) |
| Post Code | 601262966 |
| Phone Number | 6308331400 |
| Fax Number | 6309414597 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 18206 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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What is the unique 10-digit identification code issued to Jacqueline Ann Bautista by the Centers for Medicare & Medicaid Services?
The Jacqueline Ann Bautista has been assigned the NPI (National Provider Identifier) 1205043015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jacqueline Ann Bautista is physically located?
The Jacqueline Ann Bautista is physically situated at the following address: 200 N Berteau Ave, Elmhurst, IL, 601262966.
What is the Jacqueline Ann Bautista's area of specialization and corresponding taxonomy classification?
The Jacqueline Ann Bautista's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
When was the Jacqueline Ann Bautista's 1205043015 issued?
The Jacqueline Ann Bautista's 1205043015 was issued on 2007-05-17.
As of what date were the Jacqueline Ann Bautista's details last updated?
The information pertaining to the Jacqueline Ann Bautista, including its address, specialty, and other details, was most recently updated on 2007-07-08.