Provider Demographics
NPI:1295023836
Name:BALDWIN, MORGAN ANNE (RN CPNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ANNE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RN CPNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:ANNE
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CPNP
Mailing Address - Street 1:3009 N. BALLAS ROAD
Mailing Address - Street 2:SUITE 141
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2322
Mailing Address - Country:US
Mailing Address - Phone:314-994-0209
Mailing Address - Fax:314-994-9130
Practice Address - Street 1:3009 N. BALLAS ROAD
Practice Address - Street 2:SUITE 141
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2322
Practice Address - Country:US
Practice Address - Phone:314-994-0209
Practice Address - Fax:314-994-9130
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004016329363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics