Individual
MRS. MARYANNE BAUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, MSN, RN
Contact information
Practice address
20-19 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2329
(201) 797-2003
(201) 797-7003
Mailing address
211 DELMAR AVE, GLEN ROCK, NJ 07452-3604
(201) 447-6527
(201) 447-7065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00277300
NJ
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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