EDGAR ALLAN BAUTISTA RN
NPI 1760230809
Registered Nurse - Emergency in Shiprock, NM

Q: What is Edgar Allan Bautista's NPI number?

The NPI number for Edgar Allan Bautista is 1760230809. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Edgar Allan Bautista's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

Active since May 13, 2024

PO BOX 160, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edgar Allan Bautista Rn NPPES

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

EDGAR ALLAN BAUTISTA RN (NPI 1760230809) is an individual emergency provider in Shiprock, New Mexico, licensed in California (95330098) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1760230809

Entity TypeIndividualMale

Primary Taxonomy163WE0003X

Provider Legal NameEDGAR ALLAN BAUTISTACredential: RN

Location AddressPO BOX 160Shiprock, NM 87420-0160

Mailing Address3116 N Cochiti AveFarmington, NM 87401-2050 · (949) 620-7280

Phone(505) 368-6001

Sole ProprietorYes

Enumeration DateMay 13, 2024

NPPES CertifiedMay 12, 2024

✔ NPI 1760230809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers

Taxonomy Code163WE0003X

License✔ Licensed in CA · 95330098

PO BOX 160, Shiprock, NM 87420

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Other Providers at the Same Location NPPES 13

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

MR. STEPHEN W SHANKS DO

Family Medicine

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 326-6001

CHERILYNN LEA BENALLY CPNP-PC

Nurse Practitioner (Pediatrics)

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6760

MARCUS LAWRENCE COULDRIDGE

Family Medicine

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6001

CRYSTAL CHI PHARMD

Pharmacist

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6001

TANYA LISTER CNM

Advanced Practice Midwife

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6900

LEIGHTON PRUITT APRN, FNP-C

Nurse Practitioner (Family)

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6001

JONATHAN MICHAEL CHAVEZ PHARMD

Pharmacist

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6001

VICTORIA VEGA RPH

Pharmacist

PO BOX 160
SHIPROCK, NM 87420

San Juan County (505) 368-6001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Allan Bautista's NPI number?

The NPI number for Edgar Allan Bautista is 1760230809. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Edgar Allan Bautista located?

Edgar Allan Bautista practices at PO Box 160, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Edgar Allan Bautista's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Edgar Allan Bautista was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.