Provider Demographics
NPI:1295005783
Name:BAUGHMAN, MONA LEA (RN)
Entity type:Individual
Prefix:MRS
First Name:MONA
Middle Name:LEA
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53968 KREBS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLARINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43915-9782
Mailing Address - Country:US
Mailing Address - Phone:740-213-1064
Mailing Address - Fax:
Practice Address - Street 1:53968 KREBS HILL RD
Practice Address - Street 2:
Practice Address - City:CLARINGTON
Practice Address - State:OH
Practice Address - Zip Code:43915-9782
Practice Address - Country:US
Practice Address - Phone:740-213-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.198942-163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse