MATTHEW JOSEPH BAUTEL FNP-BC NPI 1245951870

NPI Information

NPI: 1245951870
Provider Name: MATTHEW JOSEPH BAUTEL, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
6549 TOWN CENTER DR STE A
CLARKSTON, MI
ZIP 48346
Phone: (800) 395-3223
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Matthew Joseph Bautel, FNP-BC is a family nurse practitioner in Clarkston, MI with 2 years of experience. Matthew Joseph Bautel, FNP-BC NPI is 1245951870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6549 TOWN CENTER DR STE A
CLARKSTON, MI
ZIP 48346-824
Phone: (800) 395-3223
Fax: (833) 329-6632

The NPI 1245951870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2022 and was last updated on 4/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		4704341284	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	2023000523	MICHIGAN	No
3	363LF0000X	Nurse Practitioner	Family	4704341284	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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