NPI 1124081500 · live from the CMS NPI Registry
Tina L Bauler, RNFA
Registered Nurse, Registered Nurse First Assistant in Mesa, AZ. National Provider Identifier 1124081500, active.
NPI record
| NPI | 1124081500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 8724 E Rose St, Mesa, AZ 85208 |
| Practice phone | 480-545-2610 |
| Mailing address | Po Box 52320, Mesa, AZ 85208 |
| Enumerated | April 7, 2006 |
| Last updated | May 26, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | RN079847 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.