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BREANNE MASSUNG BAUTISTA NNP-BC
NPI 1932676269
Nurse Practitioner - Neonatal in Lawrenceville, GA

Active since October 24, 2018
550 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(378) 312-3970 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanne Massung Bautista Nnp-bc NPPES

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

BREANNE MASSUNG BAUTISTA NNP-BC (NPI 1932676269) is an individual neonatal provider in Lawrenceville, Georgia, licensed in Georgia (RN203901) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1932676269
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameBREANNE MASSUNG BAUTISTACredential: NNP-BC
Location Address550 MEDICAL CENTER BLVDLawrenceville, GA 30046
Mailing Address550 Medical Center BlvdLawrenceville, GA 30046-7688 · (678) 312-3970
Phone(378) 312-3970
Sole ProprietorNo
Enumeration DateOctober 24, 2018
✔ NPI 1932676269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in GA · RN203901
550 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
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Other Providers at the Same Location NPPES 8

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

MACKENZIE BROWN OLIVER
Nurse Practitioner (Neonatal, Critical Care)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-1000
IMA S THOMPSON MD
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 803-3033
ALEXA ROYAL WALL
Student in an Organized Health Care Education/Training Program
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4790
KARISSA TERRY BETTEN NP
Nurse Practitioner (Neonatal)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4790
BETTE FORD MD
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 921-4492
ANSLEY KRISTEN CLEMENTS
Registered Nurse
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4790
DAWN CANNOVA NNP-BC
Nurse Practitioner (Neonatal)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 921-4492
MRS. HEATHER LEIGH FARHY NNP-BC
Pediatrics (Neonatal-Perinatal Medicine)
550 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3970

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 Breanne Bautista's NPI number?

The NPI number for Breanne Bautista is 1932676269. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Breanne Bautista located?

Breanne Bautista practices at 550 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (378) 312-3970.

What is Breanne Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Breanne Bautista was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.