NPI 1306004619
Lucie Bautista, CNM
Practice location
- Address
- 1 Randall Square Suite 205, Providence, RI 02904
- Phone
- (401) 331-7178
- Fax
- (401) 331-6181
Registered specialties
Advanced Practice Midwife
Primary
Registry record
- NPI
- 1306004619
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 May 2008
- Record last updated
- 29 Aug 2008
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.