Provider Demographics
NPI:1265533756
Name:BAIRD, AMY M (RN)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:BAIRD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-0426
Mailing Address - Country:US
Mailing Address - Phone:480-575-2402
Mailing Address - Fax:480-575-2460
Practice Address - Street 1:33424 N 60TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-5244
Practice Address - Country:US
Practice Address - Phone:480-575-2402
Practice Address - Fax:480-575-2460
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN079616163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ817372Medicaid