JESSICA BAUER
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1932905254- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15512 W 113TH ST, LENEXA, KS, 662195100
- Phone
- (816) 922-2522
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: MO #2020010768
All Addresses
MAILING
15512 W 113TH ST
LENEXA, KS, 662195100