Timothy Lewis Baum, CRNP
Individual provider Active NPI Gerontology Nurse Practitioner · Lancaster, PA
NPI 1508874199 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508874199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- SP005243H (PA)
- Practice address
- 1861 Charter LN Ste 118
Lancaster, PA 17601-5859 - Phone
- (717) 290-6900
- Fax
- (717) 290-1104
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP005243H | PA | Yes |
Addresses
Primary practice location
1861 Charter LN Ste 118
Lancaster, PA 17601-5859
Mailing address
111 E Marion St
Lititz, PA 17543-2015
Phone (717) 290-6900
Other providers in Lancaster, PA
- Jennie Corinne Rebecca Baublitz Brenenborg
- Livia K Baublitz
- Seth D Baublitz
- Usha Baublitz
- Paulina Tram Anh Tran Bauer
- Bruce W Bausher
- Aprille Baxter
- Tawana Baxter
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
All providers in Lancaster, PA · Gerontology Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.