MEDICARE: MOLLY M BAUER ARNP

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	C115268	IA

General Provider Information

NPI Number	:	1902139363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY M BAUER ARNP

Provider Business Mailing Address
First Line	:	3053 CENTER POINT RD NE STE B
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4049
Country	:	US
Telephone Number	:	319-249-9609
Fax Number	:	319-289-7006

Provider Business Practice Location Address
First Line	:	3053 CENTER POINT RD NE STE B
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-4049
Country	:	US
Telephone Number	:	319-249-9609
Fax Number	:	319-289-7006

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

Provider Enumeration Date	:	09/16/2009
Last Update Date	:	02/09/2026

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