Individual
MRS. ANGIE DIANE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
107 BRIDGEWAY ST, AURORA, IN 47001-1378
(812) 926-0744
Mailing address
1306 GLENEAGLES PL, GREENDALE, IN 47025-7517
(812) 584-5928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007964
KY
363LF0000X
Family Nurse Practitioner
Primary
71010554A
IN
363LF0000X
Family Nurse Practitioner
COA 12215 NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053056
—
OH
05
—
201222370
—
IN
05
—
7100290260
—
KY
Enumeration date
03/05/2011
Last updated
03/01/2023
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