Doctor Name: | KATHRYN LAURA BAUMEISTER |
NPI Number: | 1588936777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, NP-C |
License Number: | 208916 |
Business Practice Address: | 227 Fish Dr Angier, NC - 275016077 |
Business Phone Number: | 9193312460 |
Business Fax Number: | |
Mailing Address: | 5625 Soft Wind Dr, FUQUAY VARINA |
State: | NC |
Postal Code: | 275269207 |
Phone Number: | 7703674294 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2012 |
NPI Last Update Date: | 02/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 208916 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |