Provider Demographics
NPI:1093895989
Name:BAIRD, CAROLYN ANN (DNP, RN-BC, CARN-AP)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ANN
Last Name:BAIRD
Suffix:
Gender:F
Credentials:DNP, RN-BC, CARN-AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 JOYCE DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3248
Mailing Address - Country:US
Mailing Address - Phone:724-941-8551
Mailing Address - Fax:
Practice Address - Street 1:4160 WASHINGTON RD STE 217
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2533
Practice Address - Country:US
Practice Address - Phone:724-914-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN258900L163WA0400X, 163WP0808X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA238734Medicaid
PA7848381OtherAETNA
PA957338OtherBLUE CROSS
PA238734OtherVALUE OPTIONS
PA957338OtherBLUE CROSS
PA238734OtherVALUE OPTIONS
PA238734Medicaid