Individual
MS. DEBORAH L BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1575 BANNISTER ST, SUITE 7, YORK, PA 17404-4946
(717) 851-6454
(717) 851-1665
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-1665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP005244B
PA
363LF0000X
Family Nurse Practitioner
Primary
SP005244B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1581956
GATEWAY MEDICARE ASSURED
PA
Enumeration date
12/19/2006
Last updated
05/06/2013
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