Nancy Gardella Bauman, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Auburn, MI

NPI 1932202157 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932202157
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
4704180601 (MI)
Practice address
318 Chip Rd
Auburn, MI 48611-9741
Phone
(989) 662-0111
Fax
(989) 393-6393
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4704180601MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704180601 MI Yes

Addresses

Primary practice location

318 Chip Rd
Auburn, MI 48611-9741

Mailing address

318 Chip Rd
Auburn, MI 48611-9741
Phone (989) 662-0111

Other providers in Auburn, MI

All providers in Auburn, MI · Certified Registered Nurse Anesthetist in Michigan

Sources for this page

Verify at the official NPI Registry.