Healthcare Provider Details

I. General information

NPI: 1235101163
Provider Name (Legal Business Name): SHERRY H KARI BAUM CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY KARI BAUM MIDWIFE

II. Dates (important events)

Enumeration Date: 02/04/2006
Last Update Date: 03/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 LUNA VISTA DR
ESCONDIDO CA
92025-5245
US

IV. Provider business mailing address

865 LUNA VISTA DR
ESCONDIDO CA
92025-5245
US

V. Phone/Fax

Practice location:
  • Phone: 858-449-7506
  • Fax:
Mailing address:
  • Phone: 858-449-7506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11819
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1452
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: