Provider Demographics
NPI:1114119344
Name:BAUER, KATHRYN REGINA (APN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:REGINA
Last Name:BAUER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 CIRCLE OAK DR
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-2328
Mailing Address - Country:US
Mailing Address - Phone:830-438-4061
Mailing Address - Fax:
Practice Address - Street 1:6264 CIRCLE OAK DR
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2328
Practice Address - Country:US
Practice Address - Phone:830-438-4061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-12
Last Update Date:2007-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX645852163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N3784OtherBCBS
TXP74187OtherUPIN
TX8N3784OtherBCBS