Individual provider · Type 1 NPI
Mary Jo Baumann, NURSE PRACTITIONER
Obstetrics & Gynecology Nurse Practitioner · Concord, CA
NPI number
1790744894
Active
Practice location
2185 Pacheco St
Concord, CA 94520-2309
Fax (925) 676-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 829 (WI) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 95006490 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1790744894
Mary Jo Baumann, NURSE PRACTITIONER's National Provider Identifier is 1790744894, issued on Mar 20, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Concord, CA. The record was last updated on Sep 17, 2019.