Individual
MS. SHARON M BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
207 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-7654
(208) 318-1391
Mailing address
13211 N ANDYS GULCH RD, BOISE, ID 83714-9427
(208) 841-6541
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2006504405
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2006508900
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
CNS25A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806765200
—
ID
Enumeration date
05/11/2006
Last updated
01/31/2013
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