Jody L Bauer is a Family in Bellingham, Washington. Jody L Bauer practices all healthcare services and medical treatments related to Family. The NPI Number for Jody L Bauer is 1003904061. The last update date is 2023-05-24.
Jody L Bauer's current location address is 3111 Woburn St Ste 201, Bellingham, Washington. You can contact this provider via phone number 3607341420 and fax number 3607331659. The mailing address for Jody L Bauer is 3111 Woburn St Ste 201, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody L Bauer |
|---|---|
| Address | 3111 Woburn St Ste 201, Bellingham, Washington |
| Phone Number | 3607341420 |
| Fax Number | 3607331659 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1003904061 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 3111 Woburn St Ste 201 |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982266610 |
| Phone Number | 3607341420 |
| Fax Number | 3607331659 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP30004830 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RN00114758 | WA | LICENSE | |
| 3022HO | WA | REGENCE BLUE SHIELD | |
| AP30004830 | WA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jody L Bauer by the Centers for Medicare & Medicaid Services?
The Jody L Bauer has been assigned the NPI (National Provider Identifier) 1003904061 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jody L Bauer?
The Jody L Bauer is situated at 3111 Woburn St Ste 201, in the city of Bellingham, state of WA, with the zip code 982266610.
What is Jody L Bauer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jody L Bauer's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003904061 to Jody L Bauer?
The Centers for Medicare & Medicaid Services originally issued the 1003904061 to Jody L Bauer on 2006-10-11.
When was the information related to Jody L Bauer most recently updated or refreshed?
The details pertaining to the Jody L Bauer, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-05-24.
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