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NPI Code Detail

MEDICARE: SEANNA JANE BALDWIN FNP

MEDICARE:   SEANNA JANE BALDWIN  FNP
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 Practitioner359908NY

General Provider Information

NPI Number : 1366374514
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEANNA JANE BALDWIN FNP
Provider Business Mailing Address
First Line : 512 STANEK RD
Second Line :
City : ROTTERDAM
State : NY
Zip : 12306-9627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 ALTAMONT AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-2909
Country : US
Telephone Number : 518-264-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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