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NPI Code Detail

MEDICARE: ANNA CHAMPION BAKER CRNA

MEDICARE: ANNA CHAMPION 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
1163W00000XRegistered Nurse138530NC
2367500000XCertified Registered Nurse Anesthetist51773NC
3367500000XCertified Registered Nurse Anesthetist2227NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1138530OTHERNCNORTH CAROLINA BOARD OF NURSING
251773OTHERNBCRNA - BOARD CERTIFICATION

General Provider Information

NPI Number : 1457320368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CHAMPION BAKER CRNA
Provider Business Mailing Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number : 252-689-6502
Provider Business Practice Location Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number : 252-689-6502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 12/21/2023

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1346229093 — STEPHEN P WHITE DO
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1376571489 — JAMES PATRICK O'CONNELL M.D.
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1629096615 — DR. DAVIS WILLIAM TROY HOLT DC, MSN, FNP-BC
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2430 EMERALD PL STE 201
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Directions to “ ANNA CHAMPION BAKER CRNA” Practice Location

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