Wellformed AI

NPI 1366903205 · live from the CMS NPI Registry

Nicole Larissa Baldwin, MD

Psychiatry & Neurology, Neurology in Miami, FL. National Provider Identifier 1366903205, active.

NPI record

NPI1366903205 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location1611 Nw 12th Ave, Miami, FL 33136
Practice phone305-243-4323
Mailing address400 E 3rd St, Duluth, MN 55805
EnumeratedMarch 25, 2019
Last updatedSeptember 11, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400XME163386 (FL)
Psychiatry & Neurology, Neurology2084N0400X74996 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.