Healthcare Provider Details

I. General information

NPI: 1255440186
Provider Name (Legal Business Name): SARA MARIE BALDWIN PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA SCHLACHTENHAUFEN

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 NEW BERN AVE NEONATOLOGY DEPT.
RALEIGH NC
27610-1247
US

IV. Provider business mailing address

10113 SAN REMO PL STE 300
WAKE FOREST NC
27587-1622
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-8545
  • Fax: 919-350-8146
Mailing address:
  • Phone: 919-244-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number300263
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number172839
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: