Provider Demographics
NPI:1053750315
Name:BAUMANN, JANET MARIE (CRNP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:M
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:141 TENSAW RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4125
Mailing Address - Country:US
Mailing Address - Phone:512-567-9248
Mailing Address - Fax:334-272-6049
Practice Address - Street 1:1758 PARK PL STE 100
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1133
Practice Address - Country:US
Practice Address - Phone:334-265-8455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-125075363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily