Individual
KATHERINE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
(203) 576-5877
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
91264
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
12.012225
CT
Other
Enumeration date
07/19/2023
Last updated
08/21/2023
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