1497223861 NPI number — MRS. EMILY KURZON BAKER AGNP-C

Table of content: MRS. EMILY KURZON BAKER AGNP-C (NPI 1497223861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497223861 NPI number — MRS. EMILY KURZON BAKER AGNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAKER
Provider First Name:
EMILY
Provider Middle Name:
KURZON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
AGNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497223861
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 EASTOWNE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27514-2286
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-974-7244
Provider Business Mailing Address Fax Number:
984-974-2985

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 EASTOWNE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-2286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-7244
Provider Business Practice Location Address Fax Number:
984-974-2985
Provider Enumeration Date:
11/05/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LG0600X , with the licence number:  BAKE-FL9Z3O , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP2300X , with the licence number: BAKE-FL9Z3O , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: BAKE-FL9Z3O , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AG06180123 . This is a "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD" identifier . This identifiers is of the category "OTHER".
  • Identifier: BAKE-FL9Z3O . This is a "NORTH CAROLINA BOARD OF NURSING - CERTIFICATE OF NURSE PRACTITIONER REGISTRATION" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com