Provider Demographics
NPI:1568471332
Name:BAUER, KAREN LYNN (CRNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:BAUER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:3355 GLENDALE AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2426
Mailing Address - Country:US
Mailing Address - Phone:419-383-3588
Mailing Address - Fax:419-383-3105
Practice Address - Street 1:3000 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2595
Practice Address - Country:US
Practice Address - Phone:419-383-3588
Practice Address - Fax:419-383-3105
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2018-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN310982363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2691458Medicaid
OHNP20978Medicare PIN