Provider Demographics
NPI:1225315518
Name:BAKER, DEBORAH ANN (RN)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:BAKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 ERIE BLVD W
Mailing Address - Street 2:HEALTH SERVICES
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2749
Mailing Address - Country:US
Mailing Address - Phone:315-435-4145
Mailing Address - Fax:315-435-4859
Practice Address - Street 1:1025 ERIE BLVD W
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-2749
Practice Address - Country:US
Practice Address - Phone:315-435-4145
Practice Address - Fax:315-435-4859
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY438984-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool