TERAH BAUTISTA

FORT WAYNE, IN
NPI1801597315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71013802A)
Enumeration Date2023-03-13
Last Update Date2025-10-02
Business Address
TERAH BAUTISTA FNP-C
10620 CORPORATE DR
FORT WAYNE, IN 46845-1711
Phone number: 260-266-7100
Mailing Address
TERAH BAUTISTA FNP-C
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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