MEDICARE: DR. CAROLYN ANN BAIRD DNP, RN-BC, CARN-AP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	RN258900L	PA
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN258900L	PA
3	101Y00000X	Counselor	RN258900L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7848381	OTHER	PA	AETNA
3	957338	OTHER	PA	BLUE CROSS
4	238734	OTHER	PA	VALUE OPTIONS

General Provider Information

NPI Number	:	1093895989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN ANN BAIRD DNP, RN-BC, CARN-AP

Provider Business Mailing Address
First Line	:	119 JOYCE DR
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3248
Country	:	US
Telephone Number	:	724-941-8551
Fax Number	:

Provider Business Practice Location Address
First Line	:	4160 WASHINGTON RD STE 217
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2533
Country	:	US
Telephone Number	:	724-914-1252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	04/16/2019

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