Provider Demographics
NPI:1730968322
Name:BAKER, ELEANOR (FNP)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1423 STARCATCHER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-0235
Mailing Address - Country:US
Mailing Address - Phone:267-323-5708
Mailing Address - Fax:
Practice Address - Street 1:25935 PLAZA DR UNIT 1
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6289
Practice Address - Country:US
Practice Address - Phone:302-947-4111
Practice Address - Fax:302-947-4417
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012474363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner