Provider Demographics
NPI:1417426396
Name:BAKER, LINDA N
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:N
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 1:7671 ABIGAIL GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8643
Mailing Address - Country:US
Mailing Address - Phone:980-210-6099
Mailing Address - Fax:980-890-3610
Practice Address - Street 1:7671 ABIGAIL GLEN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8643
Practice Address - Country:US
Practice Address - Phone:980-210-6099
Practice Address - Fax:980-890-3610
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No175T00000XOther Service ProvidersPeer Specialist