Individual
LISA BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 517-5502
Mailing address
199 S CENTRAL AVE, COLUMBUS, OH 43223-1301
(614) 517-5502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN367205
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.023582
OH
Other
Enumeration date
09/29/2016
Last updated
07/03/2019
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