Individual
DESTINY RENEE BALDONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 985-9418
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001270234
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185857
VA
Other
Enumeration date
12/12/2022
Last updated
04/15/2026
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