Doctor Name: | RACHEL LYN BAIRD |
NPI Number: | 1245671205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 5386 |
Business Practice Address: | 2701 Tamarack Ave South Windsor, CT - 060745561 |
Business Phone Number: | 8606478282 |
Business Fax Number: | 8606478399 |
Mailing Address: | 2701 Tamarack Ave, SOUTH WINDSOR |
State: | CT |
Postal Code: | 060745561 |
Phone Number: | 8606478282 |
Fax Number: | 8606478399 |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 5386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |