Healthcare Provider Details

I. General information

NPI: 1215242524
Provider Name (Legal Business Name): HOPE MICHELLE BAUMAN APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2010
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 PIONEER WOODS DRIVE SUITE A
LINCOLN NE
68506
US

IV. Provider business mailing address

450 STAGE COACH AVENUE
HICKMAN NE
68372-9612
US

V. Phone/Fax

Practice location:
  • Phone: 402-488-4321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110997
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: