Provider Demographics
NPI:1386759462
Name:BAUER, MARGARET ELLEN (NP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELLEN
Last Name:BAUER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:448 E LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-2849
Mailing Address - Country:US
Mailing Address - Phone:937-847-9914
Mailing Address - Fax:937-847-9914
Practice Address - Street 1:4100 W 3RD ST
Practice Address - Street 2:P11
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45428-9000
Practice Address - Country:US
Practice Address - Phone:937-268-6511
Practice Address - Fax:937-267-7674
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHNP-07376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN