Individual
LOUELLA BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7750 E FLORENTINE RD STE A, PRESCOTT VALLEY, AZ 86314-2245
(928) 277-1211
(928) 277-1239
Mailing address
7750 E FLORENTINE RD STE A, PRESCOTT VALLEY, AZ 86314-2245
(928) 277-1211
(928) 277-1239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7624
AZ
363LF0000X
Family Nurse Practitioner
TAP7624
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146029
—
AZ
Enumeration date
02/05/2015
Last updated
10/24/2022
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