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Individual

GLADYS AZZUN-BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1616 N 7 HWY, BLUE SPRINGS, MO 64014-1936
(816) 220-2302
Mailing address
13240 FOSTER ST APT 7301, OVERLAND PARK, KS 66213-2883
(405) 657-0772

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022046832
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629005558
BLUE CROSS BLUE SHIELD KS (BCBS KS)
Enumeration date
04/11/2023
Last updated
04/11/2023
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