Provider Demographics
NPI:1942900550
Name:BAUMAN, HEATHER (RN-BSN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21523 52ND ST
Mailing Address - Street 2:
Mailing Address - City:MARTELLE
Mailing Address - State:IA
Mailing Address - Zip Code:52305-7575
Mailing Address - Country:US
Mailing Address - Phone:563-349-7328
Mailing Address - Fax:
Practice Address - Street 1:601 US 6 W
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA136746163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA136746OtherIOWA BOARD OF NURSING