Healthcare Provider Details

I. General information

NPI: 1902832546
Provider Name (Legal Business Name): JANICE L BALDWIN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6813 RAVEN CRST
HAMILTON OH
45011-9239
US

IV. Provider business mailing address

6813 RAVEN CRST
HAMILTON OH
45011-9239
US

V. Phone/Fax

Practice location:
  • Phone: 513-755-6877
  • Fax:
Mailing address:
  • Phone: 513-755-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN-308882
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: