Individual
MS. MARY C BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN
Contact information
Practice address
225 S MERAMEC AVE STE 409, CLAYTON, MO 63105-3511
(314) 556-0009
(314) 492-0095
Mailing address
6735 WYNFIELD TERRACE DR, ST. LOUIS, MO 63129
(314) 518-2837
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
069486
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2012032346
MO
Other
Enumeration date
05/04/2006
Last updated
04/12/2024
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