Individual provider · NPI-1

Kaye L. Baum, FNP

Nurse Practitioner · Eden Prairie, MN

NPI number1558312686
StatusActive
Last updated in NPPESMay 12, 2008

Details

NPI
1558312686
Entity type
Individual (NPI-1)
Name
Kaye L. Baum
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2006
Last updated
May 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR0759490MNYes

Practice location

830 Prairie Center Dr
Eden Prairie, MN 55344-7301

Phone 952-826-6500

Mailing address

830 Prairie Center Dr
Eden Prairie, MN 55344-7301

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Eden Prairie, MN