MRS. FAWN LYNN BALDAUF (NPI# 1114256138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114256138 |
| Entity Type | Individual |
| Full Name | MRS. FAWN LYNN BALDAUF |
| Other Name | FAWN LYNN TETER |
| Credential | CRNP |
| Practice Address |
502 Park Ave Clearfield PA 16830-2100 |
| Mailing Address |
795 Baldauf Rd Tyrone PA 16686-6260 |
| Practice Telephone | 8147652950 |
| Practice Fax Number | 8147650173 |
| Mailing Telephone | 5707784239 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN581431 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016692 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
502 PARK AVE |
| City | CLEARFIELD |
| State | PA |
| Zip Code | 16830-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158031 | Julie A. Hillyer | Nurse Practitioner | 502 Park Ave, Clearfield, PA 16830-2100 | 2006-03-17 |
| 1518511880 | Joelle White | Licensed Practical Nurse | 502 Park Ave, Clearfield, PA 16830-2100 | 2019-07-25 |
| 1023544210 | Lucas Wade Irwin | Family Medicine | 502 Park Ave, Clearfield, PA 16830-2100 | 2017-05-07 |
| 1649655804 | Drmc - Penn Highlands Family Medicine Clearfield 93210 | Physician Assistant | 502 Park Ave, Clearfield, PA 16830-2100 | 2015-07-29 |
| 1568674513 | Kimberly Ann Andres | Physician Assistant | 502 Park Ave, Clearfield, PA 16830-2100 | 2007-05-03 |
| 1437191517 | Donald E. Conrad | Family Medicine | 502 Park Ave, Clearfield, PA 16830-2100 | 2006-06-12 |
| 1265471023 | George C Mosch II | Family Medicine | 502 Park Ave, Clearfield, PA 16830-2100 | 2006-06-06 |
| 1851342760 | James P Davidson | Family Medicine | 502 Park Ave, Clearfield, PA 16830-2100 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751773 | Katelyn Marie Coder | Counselor | 600 Leonard St., Clearfield, PA 16830 | 2017-10-12 |
| 1730607128 | Brianna Spencer | Specialist/Technologist | 308 Witmer Street, Clearfield, PA 16830 | 2017-09-06 |
| 1487061487 | Tuesday Dawn Baker-couturiaux | Counselor | 600 Leonard Street, Clearfield, PA 16830 | 2014-07-22 |
| 1841545076 | Rashmi Mishra | Internal Medicine | 531c Hannah St, Clearfield, PA 16830 | 2012-07-13 |
| 1609911502 | Andrew Williams Zimmerman | Dentist | 402 East Market St, Clearfield, PA 16830 | 2007-02-20 |
| 1780759753 | Matthew C Rich | Chiropractor | 6247 Clearfield Woodland Hwy, Clearfield, PA 16830 | 2006-11-22 |
| 1316039043 | Michael Guy Simpson | Optometrist | 100 Super Center Drive, Clearfield, PA 16830 | 2006-09-29 |
| 1801996699 | Nathaniel D. Yingling Cancer Center | Clinic/Center | 815 Doctors Drive, Clearfield, PA 16830 | 2006-09-22 |
| 1558370130 | Mary E Flick | Dentist | 114 S 2nd St, Clearfield, PA 16830 | 2006-08-05 |
| 1386650174 | Scott R. Strauss, D.o. | Family Medicine | 531a Hannah Street, Clearfield, PA 16830 | 2006-07-31 |
| Find all providers in zip 16830 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861988107 | Shelby Holmes | Nurse Practitioner | 1527 S 1000 W, Clearfield, UT 84015-8529 | 2018-07-10 |
| 1942721592 | Bradley J Shaw | Nurse Practitioner | 1229 S 2nd St Ste B, Clearfield, PA 16830-3305 | 2017-07-05 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| 1003803792 | Cynthia L. Haacke | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2005-09-29 |
| 1306320155 | Darryl Hardy | Nurse Practitioner | 20 W 1700 S, Clearfield, UT 84016-6004 | 2018-09-18 |
| 1447696133 | Darrin Tuckett | Nurse Practitioner | 22 S State St, Clearfield, UT 84015-1043 | 2013-05-21 |
| 1629210646 | Liena M Brady | Nurse Practitioner | 926 W 1700 S, Clearfield, UT 84015-8530 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1891395406 | Eimy Aguilar | Nurse Practitioner | 18 Descartes Dr, Lancaster, PA 17603-8861 | 2020-11-01 |
| 1134729775 | Jacqueline A Ouma | Nurse Practitioner | 4530 Clairton Blvd, Pittsburgh, PA 15236-2112 | 2020-10-30 |
| 1932709912 | Sheri Lynn Tittelmayer | Nurse Practitioner | 1012 Rozel Ave, Southampton, PA 18966-4130 | 2020-10-28 |
| 1346849197 | Alexander F Talarico | Nurse Practitioner | 576 Broad St, Emmaus, PA 18049-3856 | 2020-10-22 |
| 1255930129 | Patrick A Foster | Nurse Practitioner | 3332 Eisenbrown Rd, Reading, PA 19605-1412 | 2020-10-22 |
| 1033718051 | Charlene Martin Wolfgang | Nurse Practitioner | 806 Megan Dr, Cranberry Twp, PA 16066-7422 | 2020-10-21 |
| 1750980728 | Jamie Simpson | Nurse Practitioner | 618 Rachelle Ct, Latrobe, PA 15650-4731 | 2020-10-21 |
| 1124627138 | Ashley G Dillard | Nurse Practitioner | 5447 Stanton Ave, Pittsburgh, PA 15206-2518 | 2020-10-21 |
| 1831798867 | Elena Khlobystova | Nurse Practitioner | 16 Carriage House Dr, Southampton, PA 18966-2225 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CLEARFIELD |
| Zip Code | 16830 |
Please comment or provide details below to improve the information on MRS. FAWN LYNN BALDAUF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.