Provider Demographics
NPI:1699753863
Name:BALDWIN, E LAWNEY (CRNA)
Entity type:Individual
Prefix:MR
First Name:E
Middle Name:LAWNEY
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:ERROLL
Other - Middle Name:LAWNEY
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 GREENWAY CIR
Mailing Address - Street 2:
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-2177
Mailing Address - Country:US
Mailing Address - Phone:423-743-3141
Mailing Address - Fax:
Practice Address - Street 1:100 GREENWAY CIR
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-2177
Practice Address - Country:US
Practice Address - Phone:423-743-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010085363L00000X
TNRN0000109704367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN36258931Medicaid
TN36258931Medicare PIN