Individual
MELISSA BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2001 N JEFFERSON AVE, MT PLEASANT, TX 75455-2371
(903) 577-6000
Mailing address
464 COUNTY ROAD 1125, MAUD, TX 75567-2610
(903) 585-3065
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
521468
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002878907
—
TX
01
—
85909U
BCBSTX
TX
Enumeration date
07/26/2006
Last updated
09/27/2023
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