Individual
FAWN M BAESEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
245 HILLSIDE AVE, ST JOHNSBURY, VT 05819-8869
(802) 748-5814
Mailing address
245 HILLSIDE AVE, ST JOHNSBURY, VT 05819-8869
(802) 748-5814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0260024768
VT
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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