Provider Demographics
NPI:1548715295
Name:BAIRD, CAMMIE L (ARNP)
Entity type:Individual
Prefix:
First Name:CAMMIE
Middle Name:L
Last Name:BAIRD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7313 INTERNATIONAL PL
Mailing Address - Street 2:SUITE 80
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8496
Mailing Address - Country:US
Mailing Address - Phone:941-907-1190
Mailing Address - Fax:941-907-0315
Practice Address - Street 1:7313 INTERNATIONAL PL
Practice Address - Street 2:SUITE 80
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8496
Practice Address - Country:US
Practice Address - Phone:941-907-1190
Practice Address - Fax:941-907-0315
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2858852363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health