Elizabeth Ann Baldwin, NP
Individual provider Active NPI Nurse Practitioner · Page, AZ
NPI 1174776546 · NPPES record last updated Nov 6, 2015
Key facts
- NPI
- 1174776546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP1062 (AZ)
- Practice address
- 463S Lake Powell Blvd
Page, AZ 86040 - Phone
- (928) 645-0945
- Fax
- (928) 645-2377
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP1062 | AZ | Yes |
Addresses
Primary practice location
463S Lake Powell Blvd
Page, AZ 86040
Mailing address
PO Box 790
Page, AZ 86040-0790
Phone (928) 645-0945
Other providers in Page, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.