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Clorinda M Baker

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4451 Bayou Blvd, Pensacola, FL 32503-2601

PECOS Enrollment

This provider is enrolled in PECOS as CLORINDA BAKER.

Based on the most recent information from CMS, provider Clorinda M Baker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1861980724
Provider Type
Individual
Full Name
Baker, Clorinda M
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/26/2018
Last Updated
1/9/2024

Contact Information

Practice Location

4451 Bayou Blvd, Pensacola, FL 32503-2601

(850) 416-7619

Unlisted Fax

Mailing Location

2115 Chance Rd, Molino, FL 32577-7083

(850) 529-0638

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9343863 Florida
Code 207RC0200X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 65649 New Mexico
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 65649 New Mexico
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9343863 Florida

Clorinda M Baker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

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License

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