Healthcare Provider Details

I. General information

NPI: 1982791828
Provider Name (Legal Business Name): PATRICIA D. BALDWIN RN, MS, OCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S HUNTINGTON AVE
BOSTON MA
02130-4817
US

IV. Provider business mailing address

12 BRUCE ST
TEWKSBURY MA
01876-3702
US

V. Phone/Fax

Practice location:
  • Phone: 857-364-4982
  • Fax: 617-738-1450
Mailing address:
  • Phone: 978-851-5115
  • Fax: 857-364-4982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number132580
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: