Healthcare Provider Details

I. General information

NPI: 1073289344
Provider Name (Legal Business Name): CARA MARIE BAUMBERGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARA MARIE OLSON RN

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 MERITER WAY
MADISON WI
53719-5833
US

IV. Provider business mailing address

534 GOLDEN GROVE DR
EVANSVILLE WI
53536-1449
US

V. Phone/Fax

Practice location:
  • Phone: 608-417-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16063-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number242587-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: