Provider Demographics
NPI:1669789442
Name:BAUM, SARA MICHELLE (CD (DONA))
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MICHELLE
Last Name:BAUM
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9009 ETON RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4023
Mailing Address - Country:US
Mailing Address - Phone:301-512-4859
Mailing Address - Fax:
Practice Address - Street 1:9009 ETON RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4023
Practice Address - Country:US
Practice Address - Phone:301-512-4859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula