Healthcare Provider Details

I. General information

NPI: 1417912718
Provider Name (Legal Business Name): MEGAN R BAKER CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

IV. Provider business mailing address

1 AKRON GENERAL AVE
AKRON OH
44307-2432
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-7840
  • Fax: 330-434-1453
Mailing address:
  • Phone: 330-344-7840
  • Fax: 330-434-1453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNS08626
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: