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NPI 1861415382 · live from the CMS NPI Registry

Susan L Bauman, PA

Physician Assistant in Reno, NV. National Provider Identifier 1861415382, active.

NPI record

NPI1861415382 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1240 E 9th St, Reno, NV 89512
Practice phone775-323-0478
EnumeratedJuly 25, 2006
Last updatedSeptember 8, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPA1385 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.