LIEZL ANN BAUTISTA CPNP - NPI 1083260087 - Nurse Practitioner in Palo Alto, CA

Q: What is Liezl Ann Bautista's NPI number?

The NPI number for Liezl Ann Bautista is 1083260087. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Q: What is Liezl Ann Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Liezl Ann Bautista Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIEZL ANN BAUTISTA CPNP (NPI 1083260087) is an individual nurse practitioner in Palo Alto, California, licensed in California (95012455) and active in the NPI registry since August 2019. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1083260087

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLIEZL ANN BAUTISTACredential: CPNP

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateAugust 15, 2019

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1083260087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95012455

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 600-2450 ext. 19553

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)