Taylor Baldermann Valid NPI

Individual provider · Family Nurse Practitioner · New Lenox, IL

NPI

1376177220

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

209.020951 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2020-03-01

Last updated

2020-03-01