Provider Demographics
NPI:1285001412
Name:BAUMANN, MEREDITH
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 WESTWOODS
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-2050
Mailing Address - Country:US
Mailing Address - Phone:440-228-7239
Mailing Address - Fax:440-228-7239
Practice Address - Street 1:303 WESTWOODS
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-2050
Practice Address - Country:US
Practice Address - Phone:440-228-7239
Practice Address - Fax:440-228-7239
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN159844164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse