NPI 1790744894 · live from the CMS NPI Registry
Mary Jo Baumann, Nurse Practitioner
Nurse Practitioner, Obstetrics & Gynecology in Concord, CA. National Provider Identifier 1790744894, active.
NPI record
| NPI | 1790744894 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 2185 Pacheco St, Concord, CA 94520 |
| Practice phone | 925-676-0505 |
| Enumerated | March 20, 2006 |
| Last updated | September 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 829 (WI) |
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 95006490 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.