Provider Demographics
NPI:1730765959
Name:BAIERLEIN, CARLA (RN)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:BAIERLEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 WILES RD APT 106 BLDG 16
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1844
Mailing Address - Country:US
Mailing Address - Phone:954-643-1864
Mailing Address - Fax:
Practice Address - Street 1:8701 WILES RD APT 106 BLDG 16
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-1844
Practice Address - Country:US
Practice Address - Phone:954-643-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9350235163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse