Provider Demographics
NPI:1528595410
Name:BAKER, SARAH HOUSTON
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:HOUSTON
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 1:2432 CORNING AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3832
Mailing Address - Country:US
Mailing Address - Phone:202-438-7221
Mailing Address - Fax:
Practice Address - Street 1:2432 CORNING AVE APT 3
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-3832
Practice Address - Country:US
Practice Address - Phone:202-438-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant