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NPI Code Detail

MEDICARE: SUSAN L BAUMAN PA

MEDICARE: SUSAN L BAUMAN PA
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
1363A00000XPhysician AssistantPA1385NV

Other Identifiers

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

General Provider Information

NPI Number : 1861415382
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN L BAUMAN PA
Provider Business Mailing Address
First Line : 1240 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2964
Country : US
Telephone Number : 775-323-0478
Fax Number :
Provider Business Practice Location Address
First Line : 1240 E 9TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-2964
Country : US
Telephone Number : 775-323-0478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 09/08/2021

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Directions to “ SUSAN L BAUMAN PA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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