Provider Demographics
NPI:1659666204
Name:BAKER, APRIL LOUISE (LPN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LOUISE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5922 WHITEFORD RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1638
Mailing Address - Country:US
Mailing Address - Phone:419-360-0983
Mailing Address - Fax:
Practice Address - Street 1:5922 WHITEFORD RD
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1638
Practice Address - Country:US
Practice Address - Phone:419-360-0983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 128216164W00000X, 164W00000X
MI4703100335164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN 128216OtherLICENSED PRACTICAL NURSE
PAPN 280211OtherPRACTICAL NURSE
MI4703100335OtherPRACTICAL NURSE