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NPI Code Detail

MEDICARE: MS. KATHRYN R BALDOR APRN BC

MEDICARE: MS. KATHRYN R BALDOR APRN BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0138831MA

General Provider Information

NPI Number : 1689742074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN R BALDOR APRN BC
Provider Business Mailing Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6427
Fax Number :
Provider Business Practice Location Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6427
Fax Number : 508-829-2905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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