Individual
MS. MARINA E BAHMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNS APRN BC
Contact information
Practice address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
27170201
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260K6BA
BCBS
—
01
—
53352
OPTUM
—
01
—
6267562
MEDICA
—
01
—
922241026281
PREFERRED ONE
—
01
—
HP23991
HEALTH PARTNERS
—
Enumeration date
06/14/2006
Last updated
07/08/2007
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