Individual
JEAN BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
(406) 258-4732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126832
MT
163W00000X
Registered Nurse
RN60364144
WA
363LF0000X
Family Nurse Practitioner
Primary
126833
MT
363LF0000X
Family Nurse Practitioner
AP60500711
WA
Other
Enumeration date
06/18/2014
Last updated
07/21/2022
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