Provider Demographics
NPI:1376822916
Name:BALDWIN, NATHALIE A (DVM)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:A
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 W 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3044
Mailing Address - Country:US
Mailing Address - Phone:614-545-4260
Mailing Address - Fax:614-545-4265
Practice Address - Street 1:1158 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3044
Practice Address - Country:US
Practice Address - Phone:614-545-4260
Practice Address - Fax:614-545-4265
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-14
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVET.09876174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian