| Doctor Name: | JODI HANDRICH BAUER |
| NPI Number: | 1376889279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN 0990545-NP |
| Business Practice Address: | 707 N Iowa St Gunnison, CO - 812302229 |
| Business Phone Number: | 9706428413 |
| Business Fax Number: | 9706428424 |
| Mailing Address: | 707 N Iowa St, GUNNISON |
| State: | CO |
| Postal Code: | 812302229 |
| Phone Number: | 9706428413 |
| Fax Number: | 9706428424 |
| NPI Enumeration Date: | 12/20/2012 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN 0990545-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |