Provider Demographics
NPI:1811389075
Name:BAKER, CATHERINE LINDSAY (NNP)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:LINDSAY
Last Name:BAKER
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-6077
Mailing Address - Country:US
Mailing Address - Phone:206-598-4606
Mailing Address - Fax:206-598-2939
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-6077
Practice Address - Country:US
Practice Address - Phone:206-598-4606
Practice Address - Fax:206-598-2939
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60619666363LN0005X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal