Individual
BECKY AILEEN BALDAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 CALEDONIA ST, ST JOHNSBURY, VT 05819-2480
(802) 745-9172
Mailing address
256 CALEDONIA ST, ST JOHNSBURY, VT 05819-2480
(802) 751-8352
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
059919-21
NH
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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