NPI 1942227939 · live from the CMS NPI Registry
Tamra Sue Bauduin, PA-C
Physician Assistant, Medical in Grand Forks, ND. National Provider Identifier 1942227939, active.
NPI record
| NPI | 1942227939 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1300 S Columbia Rd, Grand Forks, ND 58201 |
| Practice phone | 701-780-2300 |
| Mailing address | 2401 Demers Ave, Grand Forks, ND 58201 |
| Enumerated | July 16, 2006 |
| Last updated | February 25, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | PAC0111 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.