| Doctor Name: | MRS. FERN BAUDO |
| NPI Number: | 1154544500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP BC APRN |
| License Number: | 476531 |
| Business Practice Address: | 108 Capitol Ave Williston Park, NY - 115961621 |
| Business Phone Number: | 6462354633 |
| Business Fax Number: | |
| Mailing Address: | 283 E 4th St, Apt #5a NEW YORK |
| State: | NY |
| Postal Code: | 100097533 |
| Phone Number: | 6462354633 |
| Fax Number: | 6469644994 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 476531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |