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Individual
LAURA BAUER
Active
Individual
LAURA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-293307
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209-005726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-293307
RN LICENSE
IL
01
—
209-005726
APN LICENSE
IL
Enumeration date
05/15/2006
Last updated
12/01/2014
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