Provider Demographics
NPI:1285761924
Name:BAIRD, NATALIE M (RN)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:M
Last Name:BAIRD
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 1:80 EMPIRE ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1540
Mailing Address - Country:US
Mailing Address - Phone:617-331-2641
Mailing Address - Fax:
Practice Address - Street 1:80 EMPIRE ST
Practice Address - Street 2:APT. 1
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-1540
Practice Address - Country:US
Practice Address - Phone:617-331-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA274021163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0709531OtherMASSHEALTH