Provider Demographics
NPI:1932203403
Name:BAAS, LINDA S (CNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:BAAS
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 1:234 GOODMAN ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-3019
Mailing Address - Country:US
Mailing Address - Phone:513-584-0297
Mailing Address - Fax:513-584-7217
Practice Address - Street 1:234 GOODMAN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-3019
Practice Address - Country:US
Practice Address - Phone:513-584-0297
Practice Address - Fax:513-584-7217
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP05139363L00000X
OHCOA.05139-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78016748Medicaid
OH2630817Medicaid
OH2630817Medicaid