Individual
HOLLIE BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7662
Mailing address
315 HOSPITAL DR, MADISON, TN 37115-5030
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9504624
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11001514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103196000
—
FL
01
—
PENDING
MEDICARE HF
FL
01
—
SP019096
PENNSYLVANIA
PA
Enumeration date
08/24/2018
Last updated
12/11/2023
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