Individual provider · Type 1 NPI
Mary Louise Bair, RN
General Practice Registered Nurse · Sacramento, CA
NPI number
1417054479
Active
Practice location
4600 Broadway, Suite 1100
Sacramento, CA 95820-1527
Fax (916) 874-1780
Mailing address
2749 Las Casas Way
Rancho Cordova, CA 95670-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 196767 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1417054479
Mary Louise Bair, RN's National Provider Identifier is 1417054479, issued on Sep 20, 2006. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.