Individual
KATHRYN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
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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