Individual
MIRANDA LYNN BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-6236
(701) 234-7332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R28268
ND
363LF0000X
Family Nurse Practitioner
AP113329
TX
363LF0000X
Family Nurse Practitioner
R28268
ND
Other
Enumeration date
12/20/2005
Last updated
07/21/2022
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