Provider Demographics
NPI:1396012647
Name:BAKER, KAREN J (MSW, PCD(DONA))
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSW, PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 IVY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1470
Mailing Address - Country:US
Mailing Address - Phone:919-604-3402
Mailing Address - Fax:
Practice Address - Street 1:401 IVY GLEN DR
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1470
Practice Address - Country:US
Practice Address - Phone:919-604-3402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8654374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8654OtherDONA INTERNATIONAL