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Individual

KATHRYN BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2127
Mailing address
MSC 10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2127

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R62114
NM
363LN0000X
Neonatal Nurse Practitioner
Primary
R62114
NM

Other

Enumeration date
12/04/2007
Last updated
05/07/2012
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