Provider Demographics
NPI:1912208828
Name:BAER, HILARY DUBINS
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:DUBINS
Last Name:BAER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 MAGNOLIA AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1000
Mailing Address - Country:US
Mailing Address - Phone:415-639-4864
Mailing Address - Fax:
Practice Address - Street 1:980 MAGNOLIA AVE STE 4
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1000
Practice Address - Country:US
Practice Address - Phone:415-639-4864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23032363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health