Healthcare Provider Details

I. General information

NPI: 1689878613
Provider Name (Legal Business Name): BARBARA A BAKER CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 WEST ALAMEDA AVENUE SUITE 210
BURBANK CA
91505-4810
US

IV. Provider business mailing address

2601 WEST ALAMEDA AVENUE SUITE 210
BURBANK CA
91505-4810
US

V. Phone/Fax

Practice location:
  • Phone: 818-840-0921
  • Fax: 818-840-7064
Mailing address:
  • Phone: 818-840-0921
  • Fax: 818-840-7064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number333423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: