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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANNE GROSS BAUMGARTNER ADVANCED REGISTERED

MEDICARE:  MRS. ELIZABETH ANNE GROSS BAUMGARTNER  ADVANCED REGISTERED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP2028062FL

General Provider Information

NPI Number : 1265817829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANNE GROSS BAUMGARTNER ADVANCED REGISTERED
Provider Business Mailing Address
First Line : 5515 27TH ST WEST
Second Line :
City : BRADENTON
State : FL
Zip : 34207
Country : US
Telephone Number : 941-755-3908
Fax Number :
Provider Business Practice Location Address
First Line : 5515 27TH ST WEST
Second Line :
City : BRADENTON
State : FL
Zip : 34207
Country : US
Telephone Number : 941-755-3908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2015
Last Update Date : 03/08/2026

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Directions to “ MRS. ELIZABETH ANNE GROSS BAUMGARTNER ADVANCED REGISTERED” Practice Location

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