Provider Demographics
NPI:1598127250
Name:BAIRD, ANN (RN)
Entity Type:Individual
Prefix:MISS
First Name:ANN
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CLERMONT AVE
Mailing Address - Street 2:APT 603
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2469
Mailing Address - Country:US
Mailing Address - Phone:206-817-2364
Mailing Address - Fax:
Practice Address - Street 1:62 CLERMONT AVE
Practice Address - Street 2:APT 603
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2469
Practice Address - Country:US
Practice Address - Phone:206-817-2364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60371525163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse