Mrs Mary Stephanie Gangcuangco Bautista, FNP | |
28062 Baxter Rd, Murrieta, CA 92563-1401 | |
(956) 534-6114 | |
Not Available |
Full Name | Mrs Mary Stephanie Gangcuangco Bautista |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 28062 Baxter Rd, Murrieta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437506581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 676857 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95005578 (California) | Primary |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Stephanie Gangcuangco Bautista, FNP 3853 W Stetson Ave, Hemet, CA 92545-9674 Ph: (951) 929-6900 | Mrs Mary Stephanie Gangcuangco Bautista, FNP 28062 Baxter Rd, Murrieta, CA 92563-1401 Ph: (956) 534-6114 |
Tina Salehi, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28078 Baxter Rd Ste 530, Murrieta, CA 92563 Phone: 951-566-5229 | |
Brishna Tukhi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23717 Morning Glory Dr, Murrieta, CA 92562 Phone: 714-679-7284 | |
Leeann Joyce Green, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28078 Baxter Rd, Suite 314, Murrieta, CA 92563 Phone: 951-894-7752 | |
Philip Alian, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28078 Baxter Rd Ste 530, Murrieta, CA 92563 Phone: 951-566-5229 | |
Mr. Andre Cristian De Jesus, RN, FNP, MBA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 Phone: 877-448-3627 | |
Mr. Ryan C. Donlon, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24400 Jackson Ave Ste B, Murrieta, CA 92562 Phone: 951-433-5410 | |
Erika Jeanne Provence, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563 Phone: 951-375-7972 |