Provider Demographics
NPI:1235101163
Name:KARI BAUM, SHERRY H (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:H
Last Name:KARI BAUM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:KARI BAUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MIDWIFE
Mailing Address - Street 1:865 LUNA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-5245
Mailing Address - Country:US
Mailing Address - Phone:858-449-7506
Mailing Address - Fax:
Practice Address - Street 1:865 LUNA VISTA DR
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-5245
Practice Address - Country:US
Practice Address - Phone:858-449-7506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-04
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11819363L00000X
CA1452176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner