Provider Demographics
NPI:1982791828
Name:BALDWIN, PATRICIA D (RN, MS, OCN)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:D
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RN, MS, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRUCE ST
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-3702
Mailing Address - Country:US
Mailing Address - Phone:978-851-5115
Mailing Address - Fax:857-364-4982
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-4982
Practice Address - Fax:617-738-1450
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA132580163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology