Individual
BEVERLY R BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7310 GARDEN LN, PORTAGE, MI 49002-4458
(269) 459-6010
Mailing address
7310 GARDEN LN, PORTAGE, MI 49002-4458
(269) 584-0121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704313314
MI
363LF0000X
Family Nurse Practitioner
71012645A
IN
Other
Enumeration date
03/02/2021
Last updated
12/29/2023
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