Individual provider · NPI-1

Carolyn A. Bauer, PA-C

Physician Assistant · Santa Fe, NM

NPI number1710137658
StatusActive
Last updated in NPPESOct 30, 2023

Details

NPI
1710137658
Entity type
Individual (NPI-1)
Name
Ms. Carolyn A. Bauer
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2008
Certification date
Oct 30, 2023
Last updated
Oct 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA20080043NMYes

Practice location

1651 Galisteo St Ste 8
Santa Fe, NM 87505-4752

Phone 505-820-9870 · Fax 505-983-1265

Mailing address

Po Box 603725
Charlotte, NC 28260-3725

Phone 828-575-2625 · Fax 828-350-2174

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Santa Fe, NM