Healthcare Provider Details

I. General information

NPI: 1699217208
Provider Name (Legal Business Name): TREMIKA RENE BALDWIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3057 FREEDOM DR
CHARLOTTE NC
28208-3859
US

IV. Provider business mailing address

13405 STUMPTOWN RD
HUNTERSVILLE NC
28078-9010
US

V. Phone/Fax

Practice location:
  • Phone: 704-567-0790
  • Fax:
Mailing address:
  • Phone: 980-287-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5009223
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5009223
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5009223
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5009223
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: