Healthcare Provider Details

I. General information

NPI: 1851318844
Provider Name (Legal Business Name): ANN MARIE BAUMEISTER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 03/24/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 ELM ST N
FARGO ND
58102-2417
US

IV. Provider business mailing address

FARGO VAHCS 2101 ELM STREET
FARGO ND
58102
US

V. Phone/Fax

Practice location:
  • Phone: 701-232-3241
  • Fax:
Mailing address:
  • Phone: 701-232-3241
  • Fax: 701-234-1681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR20902
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: