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Patricia Bauer, FNP

Nurse Practitioner, Family in Traverse City, MI. Individual provider (NPI-1).

NPI number1437155488
StatusActive
Last updated in NPPESApr 7, 2017

Details

NPI
1437155488
Entity type
Individual (NPI-1)
Name
Patricia Bauer
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 23, 2005
Last updated
Apr 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704084045MIYes
363LW0102X Nurse Practitioner, Women's Health4704084045MI
363LC1500X Nurse Practitioner, Community Health4704084045MI

Practice location

1719 S Garfield Ave
Traverse City, MI 49686-4337

Phone 231-935-0799 · Fax 231-935-0962

Mailing address

1719 S Garfield Ave
Traverse City, MI 49686-4337

Phone 231-935-0799 · Fax 231-935-0962

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