Individual
STEPHANIE LYNN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 N MESA ST STE 400, EL PASO, TX 79912-5424
(906) 396-6156
Mailing address
5532 DENNIS CAVIN LN, EL PASO, TX 79934-3281
(915) 929-0557
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP132898
TX
363LP0200X
Pediatric Nurse Practitioner
AP132898
TX
Other
Enumeration date
02/14/2018
Last updated
05/30/2024
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