Provider Demographics
NPI:1790573079
Name:BALDRIDGE-FORD, AMANDA PAULINE (MSN, RN-BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:PAULINE
Last Name:BALDRIDGE-FORD
Suffix:
Gender:
Credentials:MSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 W KING ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-5619
Mailing Address - Country:US
Mailing Address - Phone:717-586-0289
Mailing Address - Fax:
Practice Address - Street 1:1701 INNOVATION DR FL 5
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-8815
Practice Address - Country:US
Practice Address - Phone:717-900-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA634788163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine