Individual
THERESA RAE BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(417) 438-6984
Mailing address
444 FOUR STATES DR STE 2, GALENA, KS 66739-4325
(417) 438-6984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014002405
MO
367500000X
Certified Registered Nurse Anesthetist
2022028091
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558014-102
KS
Other
Enumeration date
03/28/2022
Last updated
07/27/2022
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