MARISSA BAUER AGACNP-BC NPI 1700423936

NPI Information

NPI: 1700423936
Provider Name: MARISSA BAUER, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA
ZIP 95661
Phone: (760) 845-3969
Get Directions

Marissa Bauer, AGACNP-BC is an acute care nurse practitioner in Roseville, CA. Marissa Bauer, AGACNP-BC NPI is 1700423936. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2140 PROFESSIONAL DR STE 210
ROSEVILLE, CA
ZIP 95661-776
Phone: (760) 845-3969

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	95010721	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95010721	OTHER	CALIFORNIA	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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