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NPI Code Detail

MEDICARE: TAMARA A BALDWIN APNP

MEDICARE: TAMARA A BALDWIN APNP
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
1363L00000XNurse Practitioner2088WI

General Provider Information

NPI Number : 1518942937
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA A BALDWIN APNP
Provider Business Mailing Address
First Line : 3263 EATON RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-6830
Country : US
Telephone Number : 920-433-6700
Fax Number :
Provider Business Practice Location Address
First Line : 301 E SAINT JOSEPH ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-2241
Country : US
Telephone Number : 920-433-0333
Fax Number : 920-437-0533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 02/10/2021

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