Provider Demographics
NPI:1992107031
Name:BAUML, CLAIRE E (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:E
Last Name:BAUML
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:E
Other - Last Name:FITZGERALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1111 DELAFIELD STREET
Mailing Address - Street 2:SUITE 311
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-544-4411
Mailing Address - Fax:262-650-3856
Practice Address - Street 1:1111 DELAFIELD STREET
Practice Address - Street 2:SUITE 311
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188
Practice Address - Country:US
Practice Address - Phone:262-544-4411
Practice Address - Fax:262-544-4411
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.011785363LF0000X
WI6242363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIK400268784Medicare PIN