Healthcare Provider Details

I. General information

NPI: 1508884867
Provider Name (Legal Business Name): ANGELA FAYE BALDWIN CRNA, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 2ND AVE SW
LARGO FL
33770-3120
US

IV. Provider business mailing address

2230 HIGHLAND WOODS DR
DUNEDIN FL
34698-9409
US

V. Phone/Fax

Practice location:
  • Phone: 727-584-6555
  • Fax: 727-581-8507
Mailing address:
  • Phone: 727-599-1942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number071164
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP3375942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: