Provider Demographics
NPI:1861562845
Name:BAIRD, PATRICIA (CRNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4480 WILLIAM PENN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1900
Mailing Address - Country:US
Mailing Address - Phone:878-220-7051
Mailing Address - Fax:878-220-7152
Practice Address - Street 1:4480 WILLIAM PENN HIGHWAY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1900
Practice Address - Country:US
Practice Address - Phone:878-220-7051
Practice Address - Fax:878-220-7152
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102438941Medicaid
PA2150682OtherHIGHMARK MEDICARE
PA102438941Medicaid