Provider Demographics
NPI:1164115945
Name:JOHNSON-BALDWIN, BRIANA (CD)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:JOHNSON-BALDWIN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 FOUR TOPS DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1535
Mailing Address - Country:US
Mailing Address - Phone:313-930-5866
Mailing Address - Fax:
Practice Address - Street 1:1137 FOUR TOPS DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1535
Practice Address - Country:US
Practice Address - Phone:313-930-5866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula