Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5004940 | NC |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6560P | KY |
NPI | 1033424684 |
---|---|
Provider Name | Ms. Anne Marie Baumgartner |
First Address | Cary, NC 27518-7084 |
Second Address | Cary, NC 27518-7084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2010 |
Last Update Date | 02/11/2016 |