Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Paul John Bautista Nicdao

Individual provider Adult Care Home Facility · NPI 1548170012

Paul John Bautista Nicdao is registered under Adult Care Home Facility in Anchorage, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2026

Practice location Address checks out

6504 Mink Ave
Anchorage, AK 99504-2531
Phone: (907) 947-2416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence 2205134 (AK)

Record details

NPI number1548170012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 8, 2026
Last updated in NPPESSeptember 8, 2026
Certification dateSeptember 8, 2026

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