Provider Demographics
NPI:1760676753
Name:BAUMAN, EILEEN (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-2555
Mailing Address - Country:US
Mailing Address - Phone:772-233-3617
Mailing Address - Fax:
Practice Address - Street 1:4501 13TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6742
Practice Address - Country:US
Practice Address - Phone:321-766-7157
Practice Address - Fax:407-957-8874
Is Sole Proprietor?:No
Enumeration Date:2007-09-01
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3343572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily