Individual
MELISSA ANNE BALDRIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, MSN, CPN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN638385
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP020228
PA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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