Doctor Name: | JENNY BAUER |
NPI Number: | 1003015140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R147286-0 |
Business Practice Address: | 5435 Feltl Rd Emergency Physicians, P.a. Minnetonka, MN - 553437983 |
Business Phone Number: | 9528359880 |
Business Fax Number: | 9528571554 |
Mailing Address: | 5435 Feltl Rd, Emergency Physicians, P.a. MINNETONKA |
State: | MN |
Postal Code: | 553437983 |
Phone Number: | 9528359880 |
Fax Number: | 9528571554 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | R147286-0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |