Individual
BEVERLY AGAN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-C
Contact information
Practice address
1331 N ELM ST, #200, GREENSBORO, NC 27401-6302
(336) 273-7900
(336) 273-8147
Mailing address
1331 N ELM ST, #200, GREENSBORO, NC 27401-6302
(336) 273-7900
(336) 273-8147
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
600016
NC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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