Provider Demographics
NPI:1689878613
Name:BAKER, BARBARA A (CNS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:BAKER
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 WEST ALAMEDA AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4810
Mailing Address - Country:US
Mailing Address - Phone:818-840-0921
Mailing Address - Fax:818-840-7064
Practice Address - Street 1:2601 WEST ALAMEDA AVENUE
Practice Address - Street 2:SUITE 210
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4810
Practice Address - Country:US
Practice Address - Phone:818-840-0921
Practice Address - Fax:818-840-7064
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA333423364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology