Provider Demographics
NPI:1770740771
Name:BAUTRO, ESTER ANUNCIADO (RN,MA,ACNP,CCRN)
Entity type:Individual
Prefix:MRS
First Name:ESTER
Middle Name:ANUNCIADO
Last Name:BAUTRO
Suffix:
Gender:F
Credentials:RN,MA,ACNP,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FIFTH AVENUE & 100ST
Mailing Address - Street 2:MOUNT SINAI MEDICAL CENTER
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-4844
Mailing Address - Fax:212-241-9353
Practice Address - Street 1:FIFTH AVENUE & 100 ST
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-4844
Practice Address - Fax:212-241-9353
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302252363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care