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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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.