Individual
KRISTIN COIL BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
(231) 935-0747
Mailing address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
(231) 935-0747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704251214
MI
163W00000X
Registered Nurse
593665
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4704251214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396992533
—
MI
Enumeration date
08/19/2008
Last updated
05/24/2022
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