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NPI Code Detail

MEDICARE: MRS. ANNETTE BALDWIN CRNP

MEDICARE: MRS. ANNETTE BALDWIN CRNP
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
1363LP0200XPediatric Nurse PractitionerR096866MD

General Provider Information

NPI Number : 1154453900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNETTE BALDWIN CRNP
Provider Business Mailing Address
First Line : 4682 SHELLEY LN
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-6772
Country : US
Telephone Number : 410-461-9376
Fax Number :
Provider Business Practice Location Address
First Line : 8930 STANFORD BLVD
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5805
Country : US
Telephone Number : 301-490-1660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/23/2014

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