Provider Demographics
NPI:1649862178
Name:BAKER, STEPHANEY
Entity type:Individual
Prefix:MS
First Name:STEPHANEY
Middle Name:
Last Name:BAKER
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 1:4759 VIA PALM LKS APT 301
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-2708
Mailing Address - Country:US
Mailing Address - Phone:561-305-7077
Mailing Address - Fax:
Practice Address - Street 1:4759 VIA PALM LKS APT 301
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-2708
Practice Address - Country:US
Practice Address - Phone:561-305-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health