Provider Demographics
NPI:1235522814
Name:BAKER, AMY (RN,BSN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 N FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4242
Mailing Address - Country:US
Mailing Address - Phone:513-868-5610
Mailing Address - Fax:513-868-5615
Practice Address - Street 1:281 N FAIR AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4242
Practice Address - Country:US
Practice Address - Phone:513-868-5610
Practice Address - Fax:513-868-5615
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.286324163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool