Kristin Anne Bausch, L.P.N.

Individual provider Active NPI Licensed Practical Nurse · Lancaster, WI

NPI 1699196170 · NPPES record last updated Dec 30, 2013

Key facts

NPI
1699196170
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
317106-31 (WI)
Practice address
331 N Monroe St
Lancaster, WI 53813-1339
Phone
(608) 485-1726
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
317106-31WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 317106-31 WI Yes

Addresses

Primary practice location

331 N Monroe St
Lancaster, WI 53813-1339

Mailing address

331 N Monroe St
Lancaster, WI 53813-1339
Phone (608) 485-1726

Other providers in Lancaster, WI

All providers in Lancaster, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.