Provider Demographics
NPI:1700806627
Name:BALDWIN, SHERYL MARIE (RN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:MARIE
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 1:209 E BEEBE AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERLAIN
Mailing Address - State:SD
Mailing Address - Zip Code:57325-1303
Mailing Address - Country:US
Mailing Address - Phone:605-234-6424
Mailing Address - Fax:
Practice Address - Street 1:HWY 34 & 47
Practice Address - Street 2:
Practice Address - City:FT THOMPSON
Practice Address - State:SD
Practice Address - Zip Code:57339-0200
Practice Address - Country:US
Practice Address - Phone:605-245-1511
Practice Address - Fax:605-245-2384
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR017123163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse