Provider Demographics
NPI:1417293358
Name:BAUM, RACHEL (APRN, CNM)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:BAUM
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:YAKOVA
Other - Middle Name:
Other - Last Name:SCHNITZLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9401 COLLINS AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2610
Mailing Address - Country:US
Mailing Address - Phone:786-558-3919
Mailing Address - Fax:
Practice Address - Street 1:9401 COLLINS AVE APT 405
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-2610
Practice Address - Country:US
Practice Address - Phone:786-558-3919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000442367A00000X
FLMW 250175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No175M00000XOther Service ProvidersMidwife, Lay
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMW 250OtherLICENSE NUMBER