Mrs. Kathleen Jo Bautista is a Cambridge, Maryland based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mrs. Kathleen Jo Bautista is R069915 for Psych/Mental Health in Maryland. Her current practice location is 813-1 Chesapeake Drive, Cambridge. Patients can reach her at 410-221-2266 or can fax her at 410-221-2878. Mrs. Kathleen Jo Bautista is CRNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1558483867. Mrs. Kathleen Jo Bautista provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mrs. Kathleen Jo Bautista speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558483867
NPI Enumeration Date:
06 Apr, 2007
NPI Last Update On:
24 May, 2012
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kathleen Jo Bautista are as mentioned below.
License Number
Specialization
State
Status
R069915
Psych/Mental Health
Maryland
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Kathleen Jo Bautista such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
499188
Other
Maryland
VO-MHA
609550002
Medicaid
Maryland
609550004
Medicaid
Maryland
479302100
Medicaid
Maryland
609550001
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Kathleen Jo Bautista 813-1 Chesapeake Drive, Cambridge, Maryland
Zip:
21613-9401
Phone Number:
410-221-2266
Fax Number:
410-221-2878
Patients can reach Mrs. Kathleen Jo Bautista at 813-1 Chesapeake Drive, Cambridge, Maryland or can call to book an appointment on 410-221-2266.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.