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Individual

MRS. FAWN LYNN BALDAUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5512
(814) 458-1155
Mailing address
795 BALDAUF RD, TYRONE, PA 16686-6260
(570) 778-4239

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN581431
PA
363LF0000X
Family Nurse Practitioner
SP016692
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028282
PA

Other

Enumeration date
12/22/2009
Last updated
10/02/2025
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