| Doctor Name: | MS. REBECCA ANN BAUER |
| NPI Number: | 1194130468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 76379 |
| Business Practice Address: | 8340 Mission Rd Ste 205 Prairie Village, KS - 662061362 |
| Business Phone Number: | 9133817180 |
| Business Fax Number: | 9133817964 |
| Mailing Address: | 8340 Mission Rd Ste 205, PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662061362 |
| Phone Number: | 9133817180 |
| Fax Number: | 9133817964 |
| NPI Enumeration Date: | 06/25/2014 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 76379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |