Healthcare Provider Details

I. General information

NPI: 1972598019
Provider Name (Legal Business Name): LEIGH A. BAKER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 SE 24TH ST
OCALA FL
34471-5362
US

IV. Provider business mailing address

324 SE 24TH ST
OCALA FL
34471-5362
US

V. Phone/Fax

Practice location:
  • Phone: 352-368-2238
  • Fax: 352-368-5042
Mailing address:
  • Phone: 352-368-2238
  • Fax: 352-368-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP1529812
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: