Individual
MS. MOLLY HARGRAVE BAUMGARTNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN, NNP-C
Contact information
Practice address
107 MONTROSE AVE, SUITE D, LAFAYETTE, LA 70503-3852
(337) 981-9316
(337) 981-8303
Mailing address
431 SAVOIE RD, CANKTON, LA 70584-5828
(337) 668-4115
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN057173 AP01220
LA
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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