Most Relevant Information
Provider Data
| NPI Number: | 1003040023 |
| Provider Name: | CHRISTAN MARIE BAISDEN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 132186 |
Most Important Dates
| Enumeration Date: | 05/05/2009 |
| Last Updated: | 12/08/2011 |
Provider Practice Location
16819 BRADGATE AVE
CLEVELAND
OH
441114251
Practice Location Phone/Fax
| Phone: | 2162289502 |
| Fax: |
Provider Mailing Location
16819 BRADGATE AVE
CLEVELAND
OH
441114251
Provider Mailing Phone/Fax
| Phone: | 2162289502 |
| Fax: |