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NPI Code Detail

MEDICARE: MEGAN JUNE BAUER FNP-BC

MEDICARE: MEGAN JUNE BAUER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.027862IL

General Provider Information

NPI Number : 1811680333
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN JUNE BAUER FNP-BC
Provider Business Mailing Address
First Line : PO BOX 268
Second Line :
City : FREEPORT
State : IL
Zip : 61032-0268
Country : US
Telephone Number : 815-599-7950
Fax Number :
Provider Business Practice Location Address
First Line : 1010 FAIRWAY DR
Second Line :
City : FREEPORT
State : IL
Zip : 61032-6600
Country : US
Telephone Number : 815-599-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/08/2026

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