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Susan J Bauer, ARNP
Pediatric Nurse Practitioner in Great Bend, Kansas
NPI 1861457194

Susan J Bauer is a Pediatric Nurse Practitioner based in Great Bend, KS and is specialized in Pediatrics. Susan J Bauer practices in Great Bend, KS and has the professional credentials of ARNP. The NPI Number for Susan J Bauer is 1861457194 and holds a License No. 44343 (Kansas).

The current practice location address for Susan J Bauer is 1021 Eisenhower Ave, Great Bend, KS and can be reached out via phone at 620-792-5848.

Location: 1021 Eisenhower Ave, Great Bend, KS, 67530-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861457194
Provider Name
Susan J Bauer
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1021 Eisenhower Ave, Great Bend, KS, 67530-3213
Phone Number
620-792-5848
Fax Number
Provider Enumeration Date
04/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013253 01 KS BLUE CROSS INDIV PROVIDER
200269380A 05 KS
institution
Provider Business Practice Location Address Details
Address
1021 Eisenhower Ave
City
Great Bend
State
Kansas
Zip
67530-3213
Phone Number
620-792-5848
Fax Number
person
Provider Business Mailing Address Details
Address
1021 Eisenhower Ave
City
Great Bend
State
Kansas
Zip
67530-3213
Phone Number
620-792-5848
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
44343 (Kansas)
Definition
Definition to come...
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