Individual
TAMARA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206
(316) 613-4930
(316) 613-4937
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14-49502-041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200461580C
—
KS
Enumeration date
08/21/2007
Last updated
06/25/2018
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