MEDICARE: CARLA BAIERLEIN RN

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	163W00000X	Registered Nurse	RN9350235	FL

General Provider Information

NPI Number	:	1730765959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA BAIERLEIN RN

Provider Business Mailing Address
First Line	:	8701 WILES RD APT 106 BLDG 16
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-1844
Country	:	US
Telephone Number	:	954-643-1864
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 WILES RD APT 106 BLDG 16
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-1844
Country	:	US
Telephone Number	:	954-643-1864
Fax Number	:

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

Provider Enumeration Date	:	03/18/2021
Last Update Date	:	03/18/2021

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