Provider Demographics
NPI:1770788671
Name:BAUER, NANCY LYNNETTE (APN)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LYNNETTE
Last Name:BAUER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LYNNETTE
Other - Last Name:ASHBACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN, RN
Mailing Address - Street 1:2754 COMPASS DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-8714
Mailing Address - Country:US
Mailing Address - Phone:970-241-2212
Mailing Address - Fax:970-257-2401
Practice Address - Street 1:2754 COMPASS DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8714
Practice Address - Country:US
Practice Address - Phone:970-255-7223
Practice Address - Fax:970-255-7215
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI129788-030163W00000X
WI3272-33363LA2200X
COAPN.0993013-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse