Natasha D Baldwin, LPN
Individual provider Active NPI Licensed Practical Nurse · Fort Campbell, KY
NPI 1639315567 · NPPES record last updated Dec 24, 2008
Key facts
- NPI
- 1639315567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN0000058261 (TN)
- Practice address
- 650 Joel Dr
BLDG 5979 Desert Strom Ave
Fort Campbell, KY 42223-5318 - Phone
- (270) 956-0302
- NPI assigned
- Dec 24, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN0000058261 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN0000058261 | TN | Yes |
Addresses
Primary practice location
650 Joel Dr
BLDG 5979 Desert Strom Ave
Fort Campbell, KY 42223-5318
Mailing address
650 Joel Dr
BLDG 5979 Desert Strom Ave
Fort Campbell, KY 42223-5318
Phone (270) 956-0302
Other providers in Fort Campbell, KY
- Gena Baisa
- Michael Robert Baker
- Pamela Jane Baker
- John David Baldwin
- Kathryn Leigh Baldwin
- Rebecca Ball
- Elizabeth M Baltensperger
- Barber DME Supply Group
- Debra Levell Barbour
- Lucas Benjamin Barker
All providers in Fort Campbell, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2008. 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.