Individual
MARGIE SUE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9001 S 101ST EAST AVE, STE 280, TULSA, OK 74133-5708
(918) 459-8824
(918) 307-2239
Mailing address
9001 S 101ST EAST AVE, STE 280, TULSA, OK 74133-5708
(918) 459-8824
(918) 307-2239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0062949
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198130A
—
OK
01
—
76.0639661-0009
PVN BCBSOK
OK
Enumeration date
10/25/2006
Last updated
02/17/2017
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