Individual
MRS. LAURA L BAEHNMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N2934 STATE ROAD 22, WAUTOMA, WI 54982-5267
(920) 787-4613
(920) 787-5433
Mailing address
100 THEDA CLARK MEDICAL PLZ STE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 729-2378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4203
WI
364SM0705X
Medical-Surgical Clinical Nurse Specialist
4203-33
WI
Other
Enumeration date
09/28/2010
Last updated
03/17/2018
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