Provider Demographics
NPI:1427598473
Name:BAKER, QUESHANA
Entity Type:Individual
Prefix:
First Name:QUESHANA
Middle Name:
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 1:4052 N 6TH AVE
Mailing Address - Street 2:APT B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-2804
Mailing Address - Country:US
Mailing Address - Phone:520-499-0888
Mailing Address - Fax:
Practice Address - Street 1:4052 N 6TH AVE
Practice Address - Street 2:APT B
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-2804
Practice Address - Country:US
Practice Address - Phone:520-499-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide