Provider Demographics
NPI:1831678705
Name:BAKER, HILLARY A (PA-C)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:A
Last Name:BAKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 EDEN WAY N
Mailing Address - Street 2:STE 102
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0745
Mailing Address - Country:US
Mailing Address - Phone:757-366-0295
Mailing Address - Fax:757-216-4029
Practice Address - Street 1:808 EDEN WAY N STE 102
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0745
Practice Address - Country:US
Practice Address - Phone:757-216-4030
Practice Address - Fax:757-216-4029
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110006009363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant