| NPI | 1902080013 | 
|---|---|
| Other Name | TONY BALDACCI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200850023NP) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 648845) | 
| 163W00000X Registered Nurse (Licence: OR 200742895RN) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 18025) | |
| Enumeration Date | 2007-12-26 | 
| Last Update Date | 2023-03-07 |