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Individual

VIRGINIA A BAULER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2000149788
MO
363LN0000X
Neonatal Nurse Practitioner
45717
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000149788
MO LICENSE
MO
01
45717
KS ARNP
KS
Enumeration date
05/03/2006
Last updated
07/08/2007
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