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NPI Code Detail

MEDICARE: ESTHER BAHLMANN NP

MEDICARE: ESTHER BAHLMANN NP
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
1363L00000XNurse PractitionerA-090029IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
154061OTHERIAWELLMARK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740265115
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER BAHLMANN NP
Provider Business Mailing Address
First Line : PO BOX 670
Second Line :
City : DENVER
State : IA
Zip : 50622-0670
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 905 FRANKLIN ST
Second Line :
City : WATERLOO
State : IA
Zip : 50703-4407
Country : US
Telephone Number : 319-272-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 04/24/2008

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