Cynthia Marie Bauerle, LPN

Individual provider Active NPI Licensed Practical Nurse · Burlington, WI

NPI 1992022883 · NPPES record last updated May 1, 2010

Key facts

NPI
1992022883
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
312437-031 (WI)
Practice address
304 Shervin Dr
Burlington, WI 53105-9628
Phone
(262) 514-3028
Fax
(262) 514-3028
NPI assigned
May 1, 2010
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
312437-031WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 312437-031 WI Yes

Addresses

Primary practice location

304 Shervin Dr
Burlington, WI 53105-9628

Mailing address

304 Shervin Dr
Burlington, WI 53105-9628
Phone (262) 514-3028

Other providers in Burlington, WI

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

Sources for this page

Verify at the official NPI Registry.