Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 88332 | MA |
NPI | 1003908112 |
---|---|
Provider Name | Mrs. Linda Baier |
First Address | Natick, MA 01760-5441 |
Second Address | Chestnut Hill, MA 02467-2477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P25356 | (02) | MA |