MEDICARE: MS. JOYCE A BAKER CRNA

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	367500000X	Certified Registered Nurse Anesthetist	ARNP1736572	FL

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

General Provider Information

NPI Number	:	1316916414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE A BAKER CRNA

Provider Business Mailing Address
First Line	:	18 N VENETIAN WAY
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-5710
Country	:	US
Telephone Number	:	386-931-2863
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 PALMETTO ST
Second Line	:	BERT FISH MEDICAL CENTER
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-7322
Country	:	US
Telephone Number	:	386-424-5025
Fax Number	:	386-424-5054

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	06/28/2013

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