Healthcare Provider Details

I. General information

NPI: 1134352784
Provider Name (Legal Business Name): SHELIA G. BAIRD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2009
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7856 WESTSIDE PARK DR STE C
MOBILE AL
36695-8539
US

IV. Provider business mailing address

7856 WESTSIDE PARK DR STE C
MOBILE AL
36695-8539
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8090
  • Fax: 251-633-8864
Mailing address:
  • Phone: 251-633-8090
  • Fax: 251-633-8862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number073644
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR873370
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9243826
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number073644
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberR873370
License Number StateMS
# 6
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN9243826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: