WANDA LATRICE WILLIAMS BAUGH (NPI# 1548763550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548763550 |
| Entity Type | Individual |
| Full Name | WANDA LATRICE WILLIAMS BAUGH |
| Practice Address |
4810 Humboldt Ave N Minneapolis MN 55430-3743 |
| Mailing Address |
Po Box 22584 Robbinsdale MN 55422-0584 |
| Practice Telephone | 7633812078 |
| Mailing Telephone | 7633812078 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
MN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4810 HUMBOLDT AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55430-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713587 | Williams Mobile Phlebotomy Service, LLC | Technician, Pathology | 4810 Humboldt Ave N, Minneapolis, MN 55430-3743 | 2018-06-11 |
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|---|---|---|---|---|
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| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144713587 | Williams Mobile Phlebotomy Service, LLC | Technician, Pathology | 4810 Humboldt Ave N, Minneapolis, MN 55430-3743 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487906483 | Employee Wellness Alliance | Technician, Pathology | 13800 Nicollet Blvd, Suite 2252, Burnsville, MN 55337-6100 | 2012-10-15 |
| 1659591287 | Tamra Rae Poppy | Technician, Pathology | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-26 |
| City | MINNEAPOLIS |
| Zip Code | 55430 |
Please comment or provide details below to improve the information on WANDA LATRICE WILLIAMS BAUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.