Individual
MS. MELANIE PAIGE BAUCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
UAB HOSPITAL 619 19TH ST S, NP, EMERGENCY DEPARTMENT, BIRMINGHAM, AL 35249-0001
(205) 996-5111
Mailing address
UAB HOSPITAL 619 19TH ST S, NP, EMERGENCY DEPARTMENT, BIRMINGHAM, AL 35249-0001
(205) 996-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-107255
AL
363LF0000X
Family Nurse Practitioner
Primary
1-107255
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129861
—
AL
Enumeration date
03/22/2011
Last updated
09/30/2011
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