Provider Demographics
NPI:1013114503
Name:BAKER, GILES ALAN (CRNP)
Entity Type:Individual
Prefix:
First Name:GILES
Middle Name:ALAN
Last Name:BAKER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 PARK AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1573
Mailing Address - Country:US
Mailing Address - Phone:215-536-7998
Mailing Address - Fax:215-536-7998
Practice Address - Street 1:1021 PARK AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1573
Practice Address - Country:US
Practice Address - Phone:215-536-7998
Practice Address - Fax:215-536-7998
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009394363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP009394OtherLICENSE