Individual
CARISSA BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM, RN
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
829233
TX
176B00000X
Midwife
Primary
99188
TX
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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