NPI Profile for JEANNETTE A BAUER in REPUBLIC, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1952598427 |
|
| Status | Active | |
| Credentials | APRN, FNP | |
| Entity | Individual | |
| Enumeration date | 09/28/2007 | |
| Last updated | 04/28/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JEANNETTE A BAUER
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