Wellformed AI

NPI 1326699372 · live from the CMS NPI Registry

Janice Bautista, PA-C

Physician Assistant in Las Vegas, NV. National Provider Identifier 1326699372, active.

NPI record

NPI1326699372 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location8680 W Cheyenne Ave, Las Vegas, NV 89129
Practice phone702-877-5199
Mailing addressPo Box 35380, Las Vegas, NV 89133
EnumeratedSeptember 20, 2019
Last updatedJuly 13, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPA2547 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.