Individual
MS. MEAGHAN ELISABETH BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4500 MEMORIAL DR, DEPT ANESTHESIOLOGY, BELLEVILLE, IL 62226-5360
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209026022
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420117846
—
MO
Enumeration date
12/12/2019
Last updated
04/21/2025
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