Individual
MS. BRITTNEY M BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1138
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38753
BCBSNE
NE
05
—
506729276
—
NE
01
—
P00153655
RR MEDICARE - SFC
—
01
—
P00203563
RR MEDICARE - HEMINGFORD
—
Enumeration date
12/06/2006
Last updated
05/19/2021
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