Individual
STACY DAVIS BAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4700 MEMORIAL DR STE 350, BELLEVILLE, IL 62226-5373
(618) 235-7065
(618) 212-6677
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2804
(618) 235-7065
(618) 212-6677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209030350
IL
Other
Enumeration date
08/02/2024
Last updated
09/19/2025
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