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Individual
TINA L BAULER
Active
Individual
TINA L BAULER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN079847
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z5768
HEALTHNET OF AZ
AZ
05
—
844771
—
AZ
01
—
AZ0280450
BCBS
AZ
Enumeration date
04/07/2006
Last updated
05/26/2020
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