Provider Demographics
NPI:1104647767
Name:BAIDOO, JANET (NP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:BAIDOO
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 LOWES WAY STE 401
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-5019
Mailing Address - Country:US
Mailing Address - Phone:603-943-9272
Mailing Address - Fax:
Practice Address - Street 1:59 LOWES WAY STE 401
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-5019
Practice Address - Country:US
Practice Address - Phone:603-943-9272
Practice Address - Fax:978-226-4454
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH087956-23363LP0808X
MARN2323089363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health