LORILEEN C BAUTISTA


Address: 2701 Blair Mill Rd, Willow Grove, PA 19090-1041
Phone: 8567517880

LORILEEN C BAUTISTA (NPI# 1942536909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942536909
Entity Type Individual
Full Name LORILEEN C BAUTISTA
Practice Address 2701 Blair Mill Rd
Willow Grove
PA 19090-1041
Mailing Address 200 Bowman Dr
Ste E360
Voorhees
NJ 08043-9623
Practice Telephone 8567517880
Mailing Telephone 8567517880
Enumeration Date 2009-10-27
Last Update Date 2016-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
VP005422D PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2701 BLAIR MILL RD
City WILLOW GROVE
State PA
Zip Code 19090-1041

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NPI Name Taxonomy Address Enumeration
1538161591 Abington Surgical Center, P.C. Specialist 2701 Blair Mill Rd, Ste 35, Willow Grove, PA 19090-1041 2005-06-02
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1447524533 Desiree M Trader-kent Nurse Practitioner 2701 Blair Mill Rd, Suite 20, Willow Grove, PA 19090-1041 2012-03-07
1306009618 Rebecca Mulry Straubel Nurse Practitioner 2701 Blair Mill Rd, Northwood Bldg Suite C, Willow Grove, PA 19090-1041 2008-07-07
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1134315369 Montgomery County Advanced Medical Imaging, LLC Clinic/Center 2701 Blair Mill Rd, Blairwood Bldg. Suite 9, Willow Grove, PA 19090-1041 2007-09-20
1093909533 Jessica M. Klemens Obstetrics & Gynecology 2701 Blair Mill Rd, Suite C, Willow Grove, PA 19090-1041 2007-08-28
1619167459 Urology for Children Specialist 2701 Blair Mill Rd, Ste 6, Willow Grove, PA 19090-1041 2007-07-27
1407064165 Kevin R Booth Psychiatry & Neurology 2701 Blair Mill Rd, Ste 8, Willow Grove, PA 19090-1041 2007-05-18
1003022500 Venkatesh Sundararajan Anesthesiology 2701 Blair Mill Rd, #35, Willow Grove, PA 19090-1041 2007-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073122495 Orna Kempler Azulay Speech-Language Pathologist 3515 W Moreland Rd, Willow Grove, PA 19090 2020-07-31
1396205654 Randi Lynn Murat Physical Therapist 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 2019-03-22
1780173690 Garden Spring Center Snf LLC Skilled Nursing Facility 1113 North Easton Road, Willow Grove, PA 19090 2018-05-07
1740778976 Dean Depice Chiropractor 1031 North York Rd, Willow Grove, PA 19090 2018-04-24
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1750809364 Eileen Black Counselor 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 2017-09-03
1538615760 Sarah Herstich Social Worker 208 N Easton Rd, Willow Grove, PA 19090 2016-08-28
1902252091 Christina Amodei Physical Therapist 2519 Maryland Rd #250, Willowgrove, PA 19090 2016-05-09
1568838340 Insights Counseling & Consulting LLC Counselor 2300 Computer Ave., C13, Willow Grove, PA 19090 2015-08-17
1376949016 Courtney M Dedda Physical Therapist 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 2014-11-07
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790062172 Danielle Nicole Altares Nurse Practitioner 2510 Maryland Rd Ste 160, Willow Grove, PA 19090-1137 2011-11-13
1952637910 Patricia Kieser Czudak Nurse Practitioner 2701 Blair Mill Road, Suite 6, Willow Grove, PA 19090 2009-10-27
1427109867 Marie Smolenski Nurse Practitioner 2510 Maryland Rd, Suite 160, Willow Grove, PA 19090-1109 2007-01-14
1073693255 Donna Lee Patterson Nurse Practitioner 2701 Blair Mill Rd, Suite 10, Willow Grove, PA 19090-1041 2006-10-16

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NPI Name Taxonomy Address Enumeration
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1952913527 Lindsey Baranik Nurse Practitioner 711 Lawn Ave Ste 5, Sellersville, PA 18960-1583 2020-08-17
1952919771 Caitlin Wetzler Nurse Practitioner 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 2020-07-17
1871130120 Alexandria Gustin Nurse Practitioner 500 Universisity Drive, Hershey, PA 17033-0858 2019-12-05
1013476134 Victoria Nicole Hudson Nurse Practitioner 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 2019-03-18
1033674247 Priscilla Korto A Tyler Nurse Practitioner 2509 Grove Ln, Trevose, PA 19053-6755 2019-02-01
1386108629 Alison Leigh Kelley Nurse Practitioner 440 E Marshall St Fl 3, West Chester, PA 19380-5414 2019-01-30
1497239131 Tal Levin-decanini Nurse Practitioner Complex Care Clinic, 4401 Penn Ave, Pittsburgh, PA 15224 2018-09-19
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Competitor

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City WILLOW GROVE
Zip Code 19090

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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