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Individual
DENISE R BAUER
Active
Individual
DENISE R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1162
AZ
363L00000X
Nurse Practitioner
Primary
4704169638
MI
363LP0200X
Pediatric Nurse Practitioner
4704169638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942898
—
AZ
Enumeration date
03/17/2006
Last updated
09/15/2011
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