Provider Demographics
NPI:1851555791
Name:BAKER, SHARON DELORES (BSN MN CWHNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DELORES
Last Name:BAKER
Suffix:
Gender:F
Credentials:BSN MN CWHNP
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:DELORES
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN MN CWHNP
Mailing Address - Street 1:2 DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-8022
Mailing Address - Country:US
Mailing Address - Phone:706-234-8483
Mailing Address - Fax:
Practice Address - Street 1:2 DOWNING ST SE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-8023
Practice Address - Country:US
Practice Address - Phone:706-234-8483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR2033163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory