Provider Demographics
NPI:1982126306
Name:BAUMANN, CRYSTAL THOMPSON (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:THOMPSON
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:ROSE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, FNP-C
Mailing Address - Street 1:6440 W NEWBERRY RD STE 409
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4370
Mailing Address - Country:US
Mailing Address - Phone:352-333-6161
Mailing Address - Fax:352-333-6162
Practice Address - Street 1:6440 W NEWBERRY RD STE 409
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-333-6161
Practice Address - Fax:352-333-6162
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF05170126363LF0000X
FLARNP9294210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily