Individual
MS. SANDRA ANN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1801 DOLPHIN DR, WAUKESHA, WI 53186-1430
(262) 953-8550
(262) 446-0389
Mailing address
W173N7427 JOANNE DR, MENOMONEE FALLS, WI 53051-4101
(262) 953-8550
(262) 446-0389
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82225
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82225
REGISTERED NURSE
WI
Enumeration date
08/14/2012
Last updated
08/14/2012
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