Individual
VERNON T BALDWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
(318) 675-5666
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP01330
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390216
—
LA
Enumeration date
11/17/2006
Last updated
10/19/2007
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