MEDICARE: MRS. HANNA MARIZ BAUTO FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	254721	AZ

General Provider Information

NPI Number	:	1316806615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNA MARIZ BAUTO FNP-C

Provider Business Mailing Address
First Line	:	7806 S NEW STRIKE WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-0097
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7806 S NEW STRIKE WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-0097
Country	:	US
Telephone Number	:	312-843-8406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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