Melissa Anne Baumgardner, APRN
Nurse Practitioner, Family in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1063970366
StatusActive
Last updated in NPPESNov 3, 2024
Details
- NPI
- 1063970366
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Melissa Anne Baumgardner
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2019
- Certification date
- Nov 3, 2024
- Last updated
- Nov 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3013180 | KY | Yes |
Practice location
410 N Mulberry StElizabethtown, KY 42701-1848
Phone 270-268-5036
Mailing address
410 N Mulberry StElizabethtown, KY 42701-1848
Phone 270-268-5036
Other practice locations
12080 S Dixie Hwy
Sonora, KY 42776-9739
Sonora, KY 42776-9739
Phone 270-640-9868
3046 Dolphin Dr Ste 100
Elizabethtown, KY 42701-7182
Elizabethtown, KY 42701-7182
Phone 270-982-1400
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