Angela Sue Baker
Individual provider Active NPI Registered Nurse · Lewes, DE
NPI 1073166302 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1073166302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- L1-0054485 (DE)
- Practice address
- 424 Savannah Rd
Lewes, DE 19958-1462 - Phone
- (302) 645-3300
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| L1-0054485 | DE | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0054485 | DE | Yes |
Addresses
Primary practice location
424 Savannah Rd
Lewes, DE 19958-1462
Mailing address
24456 Shortly Rd
Georgetown, DE 19947-4910
Phone (302) 258-6874
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. 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.