Individual
MRS. BRANDY COLLIEN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42419 N CENTRAL AVE, PHOENIX, AZ 85086-7571
(602) 770-3770
Mailing address
42419 N CENTRAL AVE, PHOENIX, AZ 85086-7571
(602) 770-3770
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN129694
AZ
363LF0000X
Family Nurse Practitioner
Primary
219004
AZ
Other
Enumeration date
06/15/2018
Last updated
09/15/2021
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