Provider Demographics
NPI:1962214833
Name:BAJER, KRISTI D'ANN (CPM LM)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:D'ANN
Last Name:BAJER
Suffix:
Gender:F
Credentials:CPM LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 HCR 2340
Mailing Address - Street 2:
Mailing Address - City:ABBOTT
Mailing Address - State:TX
Mailing Address - Zip Code:76621-3548
Mailing Address - Country:US
Mailing Address - Phone:254-640-0253
Mailing Address - Fax:
Practice Address - Street 1:257 HCR 2340
Practice Address - Street 2:
Practice Address - City:ABBOTT
Practice Address - State:TX
Practice Address - Zip Code:76621-3548
Practice Address - Country:US
Practice Address - Phone:254-640-0253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99556176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife