Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 35088313 | OH |
NPI | 1033253778 |
---|---|
Provider Name | Nicole R. Baldwin |
First Address | Cincinnati, OH 45242-1812 |
Second Address | Cincinnati, OH 45242-1812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |