Individual
AMY BAUM TOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
6550 MAIN ST, STE. 1000, ZACHARY, LA 70791-4092
(225) 654-1559
(225) 654-6212
Mailing address
8585 PICARDY AVE, STE 410, BATON ROUGE, LA 70809-3749
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06766
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302248
—
LA
Enumeration date
06/26/2012
Last updated
03/06/2018
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