MIRANDA ELLISA BAUMGUARDNER FNP-C NPI 1730737214

NPI Information

NPI: 1730737214
Provider Name: MIRANDA ELLISA BAUMGUARDNER, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
500 W 4TH ST
ODESSA, TX
ZIP 79761
Phone: (432) 640-1883
Get Directions

Miranda Ellisa Baumguardner, FNP-C is a family nurse practitioner in Odessa, TX. Miranda Ellisa Baumguardner, FNP-C NPI is 1730737214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W 4TH ST
ODESSA, TX
ZIP 79761-001
Phone: (432) 640-1883
Fax: (432) 640-2428

The NPI 1730737214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 10/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP137886	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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