Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 2582102 | FL |
NPI | 1073948998 |
---|---|
Provider Name | Emily W Baldwin |
First Address | Tallahassee, FL 32308-5054 |
Second Address | Tallahassee, FL 32308-5054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2013 |
Last Update Date | 18/01/2018 |