Individual
MRS. ANGELA MICHELLE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
11143 PARKVIEW PLAZA DR, SUITE 311, FORT WAYNE, IN 46845-1727
(260) 482-3886
(260) 482-1910
Mailing address
11143 PARKVIEW PLAZA DR, SUITE 311, FORT WAYNE, IN 46845-1727
(260) 482-3886
(260) 482-1910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147233A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003476A
IN
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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