Individual
MS. ANGELA GENETTE BAUMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 13TH ST NW, ALBUQUERQUE, NM 87102-1841
(781) 913-0567
Mailing address
707 13TH ST NW, ALBUQUERQUE, NM 87102-1841
(781) 913-0567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-2008-0029
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59509082
—
NM
01
—
NM400306
MEDICARE PTAN
NM
Enumeration date
06/30/2008
Last updated
08/03/2016
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