Shelly A Bauer in Woodstock - Licensed Practical Nurse
Shelly A Bauer - NPI 1225202492
Shelly A Bauer is a Licensed Practical Nurse in Woodstock, Illinois. Shelly A Bauer practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shelly A Bauer is 1225202492. The last update date is 2018-10-19.
Shelly A Bauer's current location address is 3707 Doty Rd Ste G, Woodstock, Illinois. You can contact this provider via phone number 8153386600 and fax number 8152062822. The mailing address for Shelly A Bauer is 3707 Doty Rd Ste G, Woodstock, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelly A Bauer |
|---|---|
| Address | 3707 Doty Rd Ste G, Woodstock, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8152062822 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1225202492 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2018-10-19 |
Provider Mailing Address Detail
| Address | 3707 Doty Rd Ste G |
|---|---|
| City | Woodstock |
| State | Illinois (IL) |
| Post Code | 600987530 |
| Phone Number | 8153386600 |
| Fax Number | 8152062822 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 209006891 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209006891 | IL | STATE LICENSE |
Post Comment/ Review Below
What is the Shelly A Bauer's 1225202492?
The Shelly A Bauer's NPI (National Provider Identifier) Number is 1225202492. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shelly A Bauer's facilities are situated?
The facilities of Shelly A Bauer are physically located at the following address: 3707 Doty Rd Ste G, Woodstock, IL, 600987530.
What is Shelly A Bauer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shelly A Bauer's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Shelly A Bauer receive its 1225202492 assignment from the Centers for Medicare & Medicaid Services?
The Shelly A Bauer was assigned its 1225202492 by the Centers for Medicare & Medicaid Services on 2008-04-17.
When was the information related to Shelly A Bauer most recently updated or refreshed?
The details pertaining to the Shelly A Bauer, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-19.