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Shayna Dae Bauman
Neonatal Nurse Practitioner in Fort Worth, Texas
NPI 1043600489

Shayna Dae Bauman is a Neonatal Nurse Practitioner based in Fort Worth, TX and is specialized in Neonatal. Shayna Dae Bauman practices in Fort Worth, TX. The NPI Number for Shayna Dae Bauman is 1043600489 and holds a License No. 780351 (Texas).

The current practice location address for Shayna Dae Bauman is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-250-3120.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043600489
Provider Name
Shayna Dae Bauman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76104-2122
Phone Number
817-250-3120
Fax Number
Provider Enumeration Date
01/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3120
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-250-3120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
780351 (Texas)
Definition
Definition to come...
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