NPI 1003612482

Liam Michael Bahneman

Practitioner Nurse's Aide Madison, WI

Practice location

Address: 801 Braxton Pl, Madison, WI 53715-1415
Phone: (608) 260-2700
Mailing address: 625 Babcock Dr, Madison, WI 53706-1204

Registered specialties (2)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence WI037940401582 (WI)

Other Nurse's Aide providers in Wisconsin →

Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X Licence 10866195 (MN)

Registry record

NPI: 1003612482
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2025
Record last updated: 24 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.