Provider Demographics
NPI:1407034754
Name:BAKER, DINEZ D
Entity Type:Individual
Prefix:MS
First Name:DINEZ
Middle Name:D
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1671 WELLONS DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-5054
Mailing Address - Country:US
Mailing Address - Phone:919-396-1222
Mailing Address - Fax:910-339-0237
Practice Address - Street 1:1671 WELLONS DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5054
Practice Address - Country:US
Practice Address - Phone:919-396-1222
Practice Address - Fax:910-339-0237
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide