Heather Baum
Nurse Practitioner in West Reading, PA. Individual provider (NPI-1).
NPI number1396269742
StatusActive
Last updated in NPPESSep 27, 2017
Details
- NPI
- 1396269742
- Entity type
- Individual (NPI-1)
- Name
- Heather Baum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2017
- Last updated
- Sep 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP017907 | PA | Yes |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN587997 | PA |
Practice location
420 S 5th AveWest Reading, PA 19611-2143
Phone 484-628-5455
Mailing address
Po Box 13579Reading, PA 19612-3579
Phone 484-628-0799
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