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Individual

JODY L BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3111 WOBURN ST STE 201, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659
Mailing address
3111 WOBURN ST STE 201, BELLINGHAM, WA 98226-6610
(360) 734-1420
(360) 733-1659

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004830
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3022HO
REGENCE BLUE SHIELD
WA
01
AP30004830
LICENSE
WA
01
RN00114758
LICENSE
WA
Enumeration date
10/11/2006
Last updated
05/24/2023
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