Provider Demographics
NPI:1083896922
Name:BALDWIN, JOANNE LEE (RN PHN)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:LEE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RN PHN
Other - Prefix:MISS
Other - First Name:JOANNE
Other - Middle Name:LEE
Other - Last Name:WEIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN PHN
Mailing Address - Street 1:2125 KNOLL DRIVE
Mailing Address - Street 2:SUITE 200 VENTURA COUNTY HEALTH CARE AGENCY
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7329
Mailing Address - Country:US
Mailing Address - Phone:805-654-7600
Mailing Address - Fax:805-654-7611
Practice Address - Street 1:2125 KNOLL DRIVE
Practice Address - Street 2:SUITE 200 VENTURA COUNTY HEALTH CARE AGENCY
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7329
Practice Address - Country:US
Practice Address - Phone:805-654-7600
Practice Address - Fax:805-654-7611
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245206171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator