Individual
MRS. JEANNETTE ARLENE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
36 KLONDIKE RD, REPUBLIC, WA 99166-9701
(509) 775-3333
Mailing address
36 KLONDIKE RD, REPUBLIC, WA 99166-9701
(509) 775-3333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60735449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9972222
—
MT
Enumeration date
09/28/2007
Last updated
04/28/2017
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