Doctor Name: | MRS. DRUCILLA F BAKER |
NPI Number: | 1417010570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | PN036847 |
Business Practice Address: | 18804 Maple Hts Blvd Maple Hts, OH - 44137 |
Business Phone Number: | 2163558106 |
Business Fax Number: | |
Mailing Address: | 1423 East 120th Street, CLEVELAND |
State: | OH |
Postal Code: | 44106 |
Phone Number: | 2162299849 |
Fax Number: | 2162315384 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | PN036847 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |