Provider Demographics
NPI:1669581807
Name:BAKER, MARGARET PAMELA (MSN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:PAMELA
Last Name:BAKER
Suffix:
Gender:F
Credentials:MSN, FNP-C
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Other - First Name:
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Mailing Address - Street 1:17 GLENN POND ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1824
Mailing Address - Country:US
Mailing Address - Phone:845-758-6046
Mailing Address - Fax:845-758-6051
Practice Address - Street 1:17 GLENN POND ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1824
Practice Address - Country:US
Practice Address - Phone:845-758-6046
Practice Address - Fax:845-758-6051
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF-331519-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400024062OtherDOWNSTATE MEDICARE PIN
NYJ400013780OtherUPSTATE MEDICARE PIN
NY02251949Medicaid