Provider Demographics
NPI:1477979615
Name:BAUER, GILLIAN I (RN)
Entity Type:Individual
Prefix:
First Name:GILLIAN
Middle Name:
Last Name:BAUER
Suffix:I
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 HOADLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-2113
Mailing Address - Country:US
Mailing Address - Phone:513-868-5630
Mailing Address - Fax:513-868-5639
Practice Address - Street 1:801 HOADLEY AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-2113
Practice Address - Country:US
Practice Address - Phone:513-868-5630
Practice Address - Fax:513-868-5639
Is Sole Proprietor?:No
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.393270163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool