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NPI Code Detail

MEDICARE: CATHY ANN BAUGHMAN-GROSS FNP

MEDICARE:   CATHY ANN BAUGHMAN-GROSS  FNP
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 Practitioner286434CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1286434OTHERCARN LICENSE
2NP8350OTHERCAFURNISHING NUMBER

General Provider Information

NPI Number : 1710973953
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY ANN BAUGHMAN-GROSS FNP
Provider Business Mailing Address
First Line : 11256 NORMANTON CT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-2904
Country : US
Telephone Number : 858-271-7762
Fax Number :
Provider Business Practice Location Address
First Line : 7500 HARDY AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92182-0001
Country : US
Telephone Number : 619-594-5281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 03/07/2023

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Directions to “ CATHY ANN BAUGHMAN-GROSS FNP” Practice Location

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