Provider Demographics
NPI:1831491901
Name:BALDWIN, BETTI GENE (RN)
Entity Type:Individual
Prefix:MS
First Name:BETTI
Middle Name:GENE
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:PO BOX 641
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-0641
Mailing Address - Country:US
Mailing Address - Phone:800-238-8476
Mailing Address - Fax:310-534-4703
Practice Address - Street 1:23627 ARLINGTON AVE
Practice Address - Street 2:REAR BLDG
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-6041
Practice Address - Country:US
Practice Address - Phone:800-238-8476
Practice Address - Fax:310-534-4703
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304308163W00000X, 163WC0400X, 372600000X, 373H00000X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No374J00000XNursing Service Related ProvidersDoula