Nicole Marie Bautista, M.D. Valid NPI

Individual provider · Nephrology Physician · Valparaiso, IN

NPI

1558596585

Type

Individual (Type 1)

Primary specialty

Nephrology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RN0300X

License number

01074301A (IN)

Sex

Female

Sole proprietor

No

Enumerated

2009-05-19

Last updated

2021-12-17