Patricia Baumann, CRNP | |
1210 S Irving Ave, Scranton, PA 18505-2448 | |
(570) 558-0564 | |
Not Available |
Full Name | Patricia Baumann |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1210 S Irving Ave, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902217177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | SP013860 (Pennsylvania) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | SP013860 (Pennsylvania) | Secondary |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220222000447 |
Mailing Address | Practice Location Address |
---|---|
Patricia Baumann, CRNP 1210 S Irving Ave, Scranton, PA 18505-2448 Ph: (570) 558-0564 | Patricia Baumann, CRNP 1210 S Irving Ave, Scranton, PA 18505-2448 Ph: (570) 558-0564 |
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