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NPI Code Detail

MEDICARE: DANIELLE BENNETT BALDWIN ARNP

MEDICARE: DANIELLE BENNETT BALDWIN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9295384FL
2363LF0000XFamily Nurse PractitionerAPRN9295384FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043562184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE BENNETT BALDWIN ARNP
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MANAGED CARE DEPT.
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1100
Fax Number : 863-630-6528
Provider Business Practice Location Address
First Line : 4710 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2165
Country : US
Telephone Number : 863-687-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2012
Last Update Date : 05/06/2024

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