IndividualActive
Liam Bahneman
NPI 1003612482 · Nurse's Aide · Madison, WI
Provider details
- NPI number
- 1003612482
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10866195 (MN)
Mailing address
625 Babcock Dr
Madison, WI 53706-1204
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.