Provider Demographics
NPI:1033556295
Name:HOGGARTH-BALDWIN, CANDIDA D (FNP)
Entity Type:Individual
Prefix:
First Name:CANDIDA
Middle Name:D
Last Name:HOGGARTH-BALDWIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 CIRCLE DR
Mailing Address - Street 2:NORTH DAKOTA STATE HOSPITAL
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-6905
Mailing Address - Country:US
Mailing Address - Phone:701-253-3650
Mailing Address - Fax:701-253-3999
Practice Address - Street 1:2605 CIRCLE DR
Practice Address - Street 2:NORTH DAKOTA STATE HOSPITAL
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-6905
Practice Address - Country:US
Practice Address - Phone:701-253-3650
Practice Address - Fax:701-253-3999
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR33327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily