MR. ANTHONY EUGENE BALDACCI M.S.N. ANP NPI 1902080013

NPI Information

NPI: 1902080013
Provider Name: MR. ANTHONY EUGENE BALDACCI, M.S.N., ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1836 MEADE STREET
NORTH BEND, OR
ZIP 97459
Phone: (541) 808-0430
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MR. Anthony Eugene Baldacci, M.S.N., ANP is an adult health nurse practitioner in North Bend, OR. MR. Anthony Eugene Baldacci, M.S.N., ANP NPI is 1902080013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1836 MEADE STREET
NORTH BEND, OR
ZIP 97459
Phone: (541) 808-0430

The enumeration date for this NPI number is 12/26/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		648845	CALIFORNIA	No
2	163W00000X	Registered Nurse		200742895RN	OREGON	No
3	363LA2200X	Nurse Practitioner	Adult Health	200850023NP	OREGON	Yes
4	363LA2200X	Nurse Practitioner	Adult Health	18025	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R120353	OTHER		PTAN
2	213342	MEDICAID	OREGON
3	1619915113	OTHER	OREGON	CLINIC GROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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