| Doctor Name: | CANDIDA D HOGGARTH-BALDWIN |
| NPI Number: | 1033556295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R33327 |
| Business Practice Address: | 2605 Circle Dr North Dakota State Hospital Jamestown, ND - 584016905 |
| Business Phone Number: | 7012533650 |
| Business Fax Number: | 7012533999 |
| Mailing Address: | 2605 Circle Dr, North Dakota State Hospital JAMESTOWN |
| State: | ND |
| Postal Code: | 584016905 |
| Phone Number: | 7012533650 |
| Fax Number: | 7012533999 |
| NPI Enumeration Date: | 05/29/2013 |
| NPI Last Update Date: | 05/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R33327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |