Katheryn Ann Baker
Individual provider Active NPI Community Health Registered Nurse · Fruitland, MD
NPI 1003050808 · NPPES record last updated Apr 23, 2009
Key facts
- NPI
- 1003050808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- R121393 (MD)
- Practice address
- 213 Garrisonway
Fruitland, MD 21826 - Phone
- (502) 413-5841
- NPI assigned
- Apr 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R121393 | MD | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R121393 | MD | Yes |
Addresses
Primary practice location
213 Garrisonway
Fruitland, MD 21826
Mailing address
C Co 302 BSB Attn: TMC
Unit 15609
Apo, AP 96224
Phone (502) 413-5841
Other names
- Katheryn Ann Baker
Other providers in Fruitland, MD
- Nicole Bailey
- Carey Chiropractic P.a.
- Maria Luisa Carey
- Zandra E. Cephas
- Christie Cox
- Crossroads Play Therapy & Counseling, LLC
All providers in Fruitland, MD · Community Health Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.