Individual provider · Type 1 NPI

Nicholas Bauder, APN

Family Nurse Practitioner · Maryville, IL

NPI number 1275216699 Active

Practice location

2148 Vadalabene Dr
Maryville, IL 62062-5632

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Other practice locations

  • 1 Barnes Jewish Hospital Plz, St. Louis, MO 63110-1003 · (314) 747-3000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2019043435 (MO)
Registered Nurse 163W00000X041476077 (IL)
Family Nurse Practitioner Primary 363LF0000X209.032488 (IL)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1275216699

Nicholas Bauder, APN's National Provider Identifier is 1275216699, issued on Aug 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maryville, IL. The record was last updated on Jun 18, 2025.