MEDICARE: KAREN LYNN BAUER CRNP

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
1	363L00000X	Nurse Practitioner	RN337034	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568471332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LYNN BAUER CRNP

Provider Business Mailing Address
First Line	:	2675 N DECATUR RD STE 512
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6134
Country	:	US
Telephone Number	:	404-778-3712
Fax Number	:

Provider Business Practice Location Address
First Line	:	2675 N DECATUR RD STE 512
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6134
Country	:	US
Telephone Number	:	404-778-3712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	10/20/2025

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