Provider Demographics
NPI:1669137733
Name:BAIRD, LAURALEE (CNP)
Entity type:Individual
Prefix:
First Name:LAURALEE
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57932 TOWNSHIP ROAD 105
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-9714
Mailing Address - Country:US
Mailing Address - Phone:330-407-2755
Mailing Address - Fax:
Practice Address - Street 1:57932 TOWNSHIP ROAD 105
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-9714
Practice Address - Country:US
Practice Address - Phone:330-407-2755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN334157163WR0006X
OHAPRN.CNP.0030165363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant