Healthcare Provider Details

I. General information

NPI: 1447794318
Provider Name (Legal Business Name): LINDSEY D BALDWIN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSEY MARIE DESTEFANIS

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W180N8085 TOWN HALL RD DEPT OF
MENOMONEE FALLS WI
53051-3518
US

IV. Provider business mailing address

W180N8085 TOWN HALL RD DEPT OF
MENOMONEE FALLS WI
53051-3518
US

V. Phone/Fax

Practice location:
  • Phone: 262-251-1000
  • Fax: 262-518-5052
Mailing address:
  • Phone: 262-251-1000
  • Fax: 262-518-5052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number173983-30
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7525-33
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7525
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: