Individual
ANDREA M. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
192 PARK CLUB LN, WILLIAMSVILLE, NY 14221-5270
(716) 422-0010
(716) 422-0618
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02522970
—
NY
Enumeration date
07/06/2005
Last updated
07/21/2022
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