Provider Demographics
NPI:1194546887
Name:MORGAN-BALDWIN, MAUREEN L (LVN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:L
Last Name:MORGAN-BALDWIN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 GINGER ST
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-7825
Mailing Address - Country:US
Mailing Address - Phone:818-818-1817
Mailing Address - Fax:951-200-4761
Practice Address - Street 1:3656 GINGER ST STE B-1
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-7825
Practice Address - Country:US
Practice Address - Phone:310-490-4753
Practice Address - Fax:951-200-4761
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA220872164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse