MEDICARE: TRENAE BAKER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	833937	NV

General Provider Information

NPI Number	:	1134082126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENAE BAKER RN

Provider Business Mailing Address
First Line	:	886 SCARLET HAZE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6330
Country	:	US
Telephone Number	:	702-376-1497
Fax Number	:

Provider Business Practice Location Address
First Line	:	886 SCARLET HAZE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-6330
Country	:	US
Telephone Number	:	702-376-1497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “ TRENAE BAKER RN” Practice Location

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