Michelle Baker

Individual provider Active NPI School Registered Nurse · Laurel, DE

NPI 1720122534 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720122534
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
L10030167 (DE)
Practice address
815 S Central Ave
Laurel, DE 19956-1413
Phone
(302) 875-6105
NPI assigned
Feb 16, 2007
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

LicenseStateTypeSpecialty
L10030167DEMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X L10030167 DE Yes

Addresses

Primary practice location

815 S Central Ave
Laurel, DE 19956-1413

Mailing address

815 S Central Ave
Laurel, DE 19956-1413

Other providers in Laurel, DE

All providers in Laurel, DE · School Registered Nurse in Delaware

Sources for this page

Verify at the official NPI Registry.