Whalio Doctors

NPI 1124662861

Tracy a Bauhs, CBRS

Practitioner Community Health Worker Coeur D Alene, ID

Practice location

Address
2201 N Ironwood Pl STE 100, Coeur D Alene, ID 83814-2670
Phone
(208) 769-4222
Fax
(844) 803-7399
Mailing address
PO Box 1387, Hayden, ID 83835-1387

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence CD255759J (ID)

Registry record

NPI
1124662861
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Nov 2019
Record last updated
6 Nov 2019

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.