Individual provider · Type 1 NPI

Miranda Ellisa Baumguardner, FNP-C

Family Nurse Practitioner · Odessa, TX

NPI number 1730737214 Active

Practice location

500 W 4th St
Odessa, TX 79761-5001

Fax (432) 640-2428

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP137886 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1730737214

Miranda Ellisa Baumguardner, FNP-C's National Provider Identifier is 1730737214, issued on Aug 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Odessa, TX. The record was last updated on Oct 27, 2022.