Individual
LAURIE ANN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-6470
(360) 428-2535
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007705
WA
363LA2100X
Acute Care Nurse Practitioner
15949
CA
363LA2100X
Acute Care Nurse Practitioner
AP30007705
WA
Other
Enumeration date
11/16/2006
Last updated
06/17/2013
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