Provider Demographics
NPI:1134987365
Name:BAUER, ESTHER N (LPN)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:N
Last Name:BAUER
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4791 S VISTA PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-5536
Mailing Address - Country:US
Mailing Address - Phone:602-705-1456
Mailing Address - Fax:
Practice Address - Street 1:4791 S. VISTA PLACE
Practice Address - Street 2:CHANDLER, ARIZONA
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5536
Practice Address - Country:US
Practice Address - Phone:602-705-1456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP036254164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse