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NPI Code Detail

MEDICARE: TERESA M BAUERNSCHMIDT WHNP-BC

MEDICARE: TERESA M BAUERNSCHMIDT WHNP-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
1363LW0102XWomen's Health Nurse Practitioner101.0099426VT
2363LW0102XWomen's Health Nurse Practitioner065564-23NH

General Provider Information

NPI Number : 1780935049
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M BAUERNSCHMIDT WHNP-BC
Provider Business Mailing Address
First Line : 1 MEDICAL CENTER DR
Second Line : OBSTETRICS AND GYNECOLOGY
City : LEBANON
State : NH
Zip : 03756-1000
Country : US
Telephone Number : 603-653-9306
Fax Number :
Provider Business Practice Location Address
First Line : 108 N MAIN ST
Second Line :
City : WHITE RIVER JUNCTION
State : VT
Zip : 05001-7056
Country : US
Telephone Number : 802-299-0118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2012
Last Update Date : 08/15/2024

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