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Individual

ROBERT L BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
Mailing address
67 LAKEVIEW DR, PADUCAH, KY 42001-5619
(270) 554-8373

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1153069
KY
363L00000X
Nurse Practitioner
Primary
3012857
KY
363LG0600X
Gerontology Nurse Practitioner
3012857
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100570380
KY
Enumeration date
10/03/2018
Last updated
07/07/2023
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