MEDICARE: MS. CYNTHIA BAER FNP

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	363L00000X	Nurse Practitioner	4818	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080159876	OTHER	CA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1770564270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA BAER FNP

Provider Business Mailing Address
First Line	:	PO BOX 28949
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-8949
Country	:	US
Telephone Number	:	559-228-5400
Fax Number	:	559-224-3920

Provider Business Practice Location Address
First Line	:	7145 N CHESTNUT AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0359
Country	:	US
Telephone Number	:	559-299-1178
Fax Number	:

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	08/11/2021

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