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Individual

SAMANTHA R BAUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
235 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 783-4222
(513) 783-4477
Mailing address
235 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 783-4222
(513) 783-4477

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13175NP
OH
363LA2100X
Acute Care Nurse Practitioner
RN322855
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000756093
ANTHEM
OH
05
0061191
OH
Enumeration date
02/09/2012
Last updated
05/14/2019
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