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NPI Code Detail

MEDICARE: VALERIE BALDWIN-THOMAS APRN, ACNP, PMHNP-BC

MEDICARE: VALERIE BALDWIN-THOMAS APRN, ACNP, PMHNP-BC
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
1363LA2100XAcute Care Nurse Practitioner537618TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner202588MT
3363LP0808XPsychiatric/Mental Health Nurse Practitioner537618TX
4364SM0705XMedical-Surgical Clinical Nurse Specialist537618TX
5363LP0808XPsychiatric/Mental Health Nurse Practitioner201508867NP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1867N45OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093713505
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE BALDWIN-THOMAS APRN, ACNP, PMHNP-BC
Provider Business Mailing Address
First Line : 687 CHESHIRE AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5060
Country : US
Telephone Number : 541-684-4100
Fax Number : 541-684-4156
Provider Business Practice Location Address
First Line : 687 CHESHIRE AVE
Second Line :
City : EUGENE
State : OR
Zip : 97402-5060
Country : US
Telephone Number : 541-684-4575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/14/2024

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