Provider Demographics
NPI:1831854686
Name:BAISDEN, COLLEEN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:
Last Name:BAISDEN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:JOYNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3173 BROADLEAF WAY
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-3326
Mailing Address - Country:US
Mailing Address - Phone:330-416-9533
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # S10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-3326
Practice Address - Country:US
Practice Address - Phone:216-444-9887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-06
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0030131363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily