Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 27197 | IA |
N | 207YP0228X | Pediatric Otolaryngology | 27197 | IA |
NPI | 1972596187 |
---|---|
Provider Name | Nancy M Bauman |
First Address | Iowa City, IA 52242-1082 |
Second Address | Iowa City, IA 52242-1082 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0099531 | (05) | IA |
11902 | WELLMARK BCBS (01) | IA |
F57644 | (02) |