Baker, Shauntae Alicia

Baker, Shauntae Alicia is an individual health care provider with primary practice located at 38135 Market Sq , Zephyrhills FL 33542-7505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baker, Shauntae Alicia can be contacted via phone (813) 780-2155.

Contact Information

Primary practice address
38135 Market Sq Zephyrhills FL 33542-7505
Phone: (813) 780-2155
Fax: (813) 355-5017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3317242 Florida

Profile Details

NPI number 1932444700
LBN Legal business name Baker, Shauntae Alicia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2012
Last updated Mar 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932444700 NPPES
Florida Other P01595402 RR MCR
Florida MEDICAID 009838700 RR MCR

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