Individual
PATRICIA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
(231) 935-0962
Mailing address
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686-4337
(231) 935-0799
(231) 935-0962
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
4704084045
MI
363LF0000X
Family Nurse Practitioner
Primary
4704084045
MI
363LW0102X
Women's Health Nurse Practitioner
4704084045
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234448194
—
MI
Enumeration date
06/23/2005
Last updated
04/07/2017
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