Lisa Maria Baldone, CRNP

Individual provider Active NPI Family Nurse Practitioner · Birmingham, AL

NPI 1639610793 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1639610793
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-045125 (AL)
Practice address
1713 6TH Ave S
Birmingham, AL 35249-6914
Phone
(205) 934-9595
Fax
(205) 975-6114
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-045125ALMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-045125 AL Yes

Addresses

Primary practice location

1713 6TH Ave S
Birmingham, AL 35249-6914

Mailing address

1713 6TH Ave S
Birmingham, AL 35249-6914
Phone (205) 934-9595

Other providers in Birmingham, AL

All providers in Birmingham, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.