Individual provider · Type 1 NPI
Laci Bauer, NP-C
Nurse Practitioner · Meridian, ID
Practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Fax (208) 706-7516
Mailing address
520 S Eagle Rd Ste 1243
Meridian, ID 83642-6355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 62999 (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1558905653
Laci Bauer, NP-C's National Provider Identifier is 1558905653, issued on Oct 31, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Meridian, ID. The record was last updated on Dec 5, 2019.