Healthcare Provider Details

I. General information

NPI: 1467008045
Provider Name (Legal Business Name): BRITTANY ANNE BAIRD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2019
Last Update Date: 08/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 US HIGHWAY 231 N
HARTFORD KY
42347-9402
US

IV. Provider business mailing address

6568 AUTUMN CRK
OWENSBORO KY
42301-8029
US

V. Phone/Fax

Practice location:
  • Phone: 270-504-7060
  • Fax:
Mailing address:
  • Phone: 949-370-0320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013531
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: