Provider Demographics
NPI:1326702739
Name:BALDWIN, NADINE PIAZZA (DAC, LAC)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:PIAZZA
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 N GRANITE REEF RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1724
Mailing Address - Country:US
Mailing Address - Phone:727-348-2844
Mailing Address - Fax:
Practice Address - Street 1:10211 N 32ND ST STE A6
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3841
Practice Address - Country:US
Practice Address - Phone:727-348-2844
Practice Address - Fax:866-623-6131
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-010720171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist