Individual
LISA ANN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDDN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94145611
CA
163W00000X
Registered Nurse
Primary
R146370-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015015
CERTIFICATION DEVELOPMENTAL DISABILITY NURSE - NATIONAL ASSOCIATION
MN
01
—
94145611
NURSING LICENSE
CA
01
—
R146370-1
NURSING LICENSE
MN
Enumeration date
08/01/2018
Last updated
08/01/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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