NPI 1053779322

Shylee Bautista Tiamson, NP

Practitioner Family Nurse Practitioner West Covina, CA

Practice location

Address: 100 N Barranca St # 900-J, West Covina, CA 91791-1637
Phone: (310) 292-0117

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 95003772 (CA)

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Registry record

NPI: 1053779322
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2016
Record last updated: 14 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.