Individual provider · NPI-1

Elana Baum, RN

Registered Nurse, General Practice · Dallas, TX

NPI number1740087659
StatusActive
Last updated in NPPESFeb 27, 2025

Details

NPI
1740087659
Entity type
Individual (NPI-1)
Name
Elana Baum
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2025
Certification date
Feb 27, 2025
Last updated
Feb 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice1043381TXYes

Other names

  • Elana Ackerman (Other Name)

Practice location

6918 Blue Mesa Dr
Dallas, TX 75252-6140

Phone 845-825-2231

Mailing address

6918 Blue Mesa Dr
Dallas, TX 75252-6140

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