Provider Demographics
NPI:1245937010
Name:BAUDER, MALINDA ANN
Entity type:Individual
Prefix:MRS
First Name:MALINDA
Middle Name:ANN
Last Name:BAUDER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MINDY
Other - Middle Name:A
Other - Last Name:BAUDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3507 125TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-9378
Mailing Address - Country:US
Mailing Address - Phone:616-403-8095
Mailing Address - Fax:
Practice Address - Street 1:3507 125TH AVE
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-9378
Practice Address - Country:US
Practice Address - Phone:616-403-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula