Provider Demographics
NPI:1346130473
Name:BAUTISTA, LAURYN
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:BAUTISTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 EASTERN AVE APT 402
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4050
Mailing Address - Country:US
Mailing Address - Phone:562-310-0644
Mailing Address - Fax:
Practice Address - Street 1:JOHNS HOPKINS UNIVERSITY SCHOOL OF NURSING
Practice Address - Street 2:525 N. WOLFE ST. UNIT N230
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205
Practice Address - Country:US
Practice Address - Phone:410-502-6762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95254196163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse