Individual
DR. NICOLE LARISSA BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-4323
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
74996
MN
2084N0400X
Neurology Physician
Primary
ME163386
FL
Other
Enumeration date
03/25/2019
Last updated
09/11/2025
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