Healthcare Provider Details

I. General information

NPI: 1558951806
Provider Name (Legal Business Name): EMILY BALDWIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 VICTORIA ST VB 360A
PITTSBURGH PA
15261-2536
US

IV. Provider business mailing address

5130 UHLMAN RD
FAIRVIEW PA
16415-2111
US

V. Phone/Fax

Practice location:
  • Phone: 888-747-0794
  • Fax:
Mailing address:
  • Phone: 814-923-1508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN722486
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024189425
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: