Provider Demographics
NPI:1043046261
Name:BAUREIS, ASHLEY RAEDEANE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RAEDEANE
Last Name:BAUREIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 HIGHWAY 110 W
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-3404
Mailing Address - Country:US
Mailing Address - Phone:501-362-0048
Mailing Address - Fax:
Practice Address - Street 1:2225 HIGHWAY 110 W
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3404
Practice Address - Country:US
Practice Address - Phone:501-362-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR230456207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine