Provider Demographics
NPI:1205602869
Name:BAKER, DONNA MECHELLE
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MECHELLE
Last Name:BAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:UNITED
Other - Middle Name:COURIER
Other - Last Name:SERVICE LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:UNITEDCOURIERSERVICE
Mailing Address - Street 1:6960 N 5TH ST # 1203
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-1351
Mailing Address - Country:US
Mailing Address - Phone:720-376-1975
Mailing Address - Fax:
Practice Address - Street 1:5720 ALITAK BAY ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6816
Practice Address - Country:US
Practice Address - Phone:720-376-1975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1406247864347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle