Doctor Name: | MRS. CAROL HASE BALDWIN |
NPI Number: | 1073568291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 9162317 |
Business Practice Address: | 7305 N Military Trl Medicine (111) Riviera Beach, FL - 334107417 |
Business Phone Number: | 5614226650 |
Business Fax Number: | 5614228708 |
Mailing Address: | 7305 N Military Trl, Medicine (111) RIVIERA BEACH |
State: | FL |
Postal Code: | 334107417 |
Phone Number: | 5614226650 |
Fax Number: | 5614228708 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP 9162317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |