Healthcare Provider Details

I. General information

NPI: 1699130708
Provider Name (Legal Business Name): LAURA ROSE BAARTMAN VOLK DNP, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA ROSE BAARTMAN DNP, APRN, CNM

II. Dates (important events)

Enumeration Date: 12/17/2015
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FRANCE AVE S STE 400A
EDINA MN
55435-2141
US

IV. Provider business mailing address

6565 FRANCE AVE S STE 400A
EDINA MN
55435-2141
US

V. Phone/Fax

Practice location:
  • Phone: 952-225-1630
  • Fax: 952-225-1609
Mailing address:
  • Phone: 952-225-1630
  • Fax: 952-225-1609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM 0292
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: