Provider Demographics
NPI:1598905127
Name:BALDWIN, SUSAN CATHERINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CATHERINE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4267 KINDIG SPUR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1853
Mailing Address - Country:US
Mailing Address - Phone:330-666-8388
Mailing Address - Fax:
Practice Address - Street 1:4267 KINDIG SPUR
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-1853
Practice Address - Country:US
Practice Address - Phone:330-666-8388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 321800163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health