MEDICARE: LAURA BAUER FNP-C

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	363LP2300X	Primary Care Nurse Practitioner	5023848	NC

General Provider Information

NPI Number	:	1831049832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BAUER FNP-C

Provider Business Mailing Address
First Line	:	207 DEER CREEK LN
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-0516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16415 NORTHCROSS DR STE B
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-5001
Country	:	US
Telephone Number	:	704-775-6029
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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