Individual
VICKY T BAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
104 N MAIN ST, UNION BRIDGE, MD 21791-9102
(443) 937-6258
(949) 404-6023
Mailing address
PO BOX 591, UNION BRIDGE, MD 21791-0592
(443) 937-6258
(949) 404-6023
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R139731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19344200
—
MD
Enumeration date
09/02/2010
Last updated
12/27/2018
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