Individual
DEVON BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(700) 775-7668
Mailing address
2329 CAPE ARBOR DR, VIRGINIA BEACH, VA 23451-1531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
146780
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2023
Last updated
05/09/2023
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