Mariana Bautista, CNA
Individual provider Active NPI Nurse's Aide · Siloam Springs, AR
NPI 1578858932 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1578858932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 710 S Holly St
Siloam Springs, AR 72761-3304 - Phone
- (479) 750-2020
- Fax
- (479) 750-8967
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Guidance Center, Inc | Past | Accepting new patients | |
| Ozark Guidance Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
710 S Holly St
Siloam Springs, AR 72761-3304
Mailing address
710 S Holly St
Siloam Springs, AR 72761-3304
Phone (479) 750-2020
Other providers in Siloam Springs, AR
- Tracy L Baranauskas
- Briana Kathlyn Barganier
- Katelyn Elizabeth Barker
- Mary Helen Barker
- Sherri L Barns
- Christy Deann Belew
- Adria Rachel Bell
- Terra J Bellamy
- George H Benjamin
- Abbygail Middleton Bennett
All providers in Siloam Springs, AR · Nurse's Aide in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.