MS. KERYL L. BAUER


Address: 10243 N Onyx Moon Dr, Tucson, AZ 85743-5252
Phone: 5208706770

MS. KERYL L. BAUER (NPI# 1821007188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821007188
Entity Type Individual
Full Name MS. KERYL L. BAUER
Credential NURSE PRACTITIONER
Practice Address 10243 N Onyx Moon Dr
Tucson
AZ 85743-5252
Practice Telephone 5208706770
Mailing Telephone 5207921450
Mailing Fax Number 5206291764
Enumeration Date 2006-08-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 363LF0000X Nurse Practitioner
Specialization: Family
AP2075 AZ Physician Assistants & Advanced Practice Nursing Providers
X 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP2075 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10243 N ONYX MOON DR
City TUCSON
State AZ
Zip Code 85743-5252

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City TUCSON
Zip Code 85743

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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