Provider Demographics
NPI:1467245787
Name:BAUER, ANDREW GUSTEL (DNP)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GUSTEL
Last Name:BAUER
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4047 LUCKY LN
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8334
Mailing Address - Country:US
Mailing Address - Phone:317-331-7341
Mailing Address - Fax:
Practice Address - Street 1:3535 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3908
Practice Address - Country:US
Practice Address - Phone:614-566-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.0021317367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered