Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. William Bautista Amistad Jr., FNP

Individual provider Family Nurse Practitioner · NPI 1215380969

Mr. William Bautista Amistad Jr., FNP is a Nurse Practitioner in Yuma, Arizona. Qualified in 2016, 10 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

100 E 24th St Ste 3A
Yuma, AZ 85364-8619
Phone: (928) 750-6410
Fax: (928) 750-6433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18914 East San Tan Boulevatd, Queen Creek, AZ 85142 — (480) 681-6699

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP9557 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN171460 (AZ)

Record details

NPI number1215380969
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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