Provider Demographics
NPI:1255456802
Name:BAUER, SHARON FRUCELLA (MSN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:FRUCELLA
Last Name:BAUER
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 SWANN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5505
Mailing Address - Country:US
Mailing Address - Phone:202-667-6425
Mailing Address - Fax:
Practice Address - Street 1:1834 SWANN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5505
Practice Address - Country:US
Practice Address - Phone:202-667-6425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN27990163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult