IndividualActive
Lucie Bautista, CNM
NPI 1306004619 · Advanced Practice Midwife · Providence, RI
Provider details
- NPI number
- 1306004619
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- MW 110 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Randall Square
Suite 205
Providence, RI 02904
Phone: (401) 331-7178
Fax: (401) 331-6181
Approximate (ZIP-level) locationGet directions
Mailing address
1 Randall Square
Providence, RI 02904
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2008-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.