Louella Bauman, FNP-BC
Nurse Practitioner, Family in Prescott Valley, AZ. Individual provider (NPI-1).
NPI number1699166199
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1699166199
- Entity type
- Individual (NPI-1)
- Name
- Louella Bauman
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2015
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP7624 | AZ | Yes |
| 363LF0000X | Nurse Practitioner, Family | TAP7624 | AZ |
Practice location
7750 E Florentine Rd Ste APrescott Valley, AZ 86314-2245
Phone 928-277-1211 · Fax 928-277-1239
Mailing address
7750 E Florentine Rd Ste APrescott Valley, AZ 86314-2245
Phone 928-277-1211 · Fax 928-277-1239
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