Provider Demographics
NPI:1588936777
Name:BAUMEISTER, KATHRYN LAURA (RN, MSN, NP-C)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LAURA
Last Name:BAUMEISTER
Suffix:
Gender:F
Credentials:RN, MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 SOFT WIND DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-9207
Mailing Address - Country:US
Mailing Address - Phone:770-367-4294
Mailing Address - Fax:
Practice Address - Street 1:227 FISH DR
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-6077
Practice Address - Country:US
Practice Address - Phone:919-331-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC208916363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily