NPI 1124495049 · live from the CMS NPI Registry
Tara Baird, APRN
Nurse Practitioner in Wichita, KS. National Provider Identifier 1124495049, active.
NPI record
| NPI | 1124495049 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1919 N Amidon Ave Ste 130, Wichita, KS 67203 |
| Practice phone | 316-660-7675 |
| Mailing address | 271 W 3rd St N, Ste 600, Wichita, KS 67202 |
| Enumerated | August 26, 2015 |
| Last updated | March 23, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 116813 (KS) |
| Nurse Practitioner primary | 363L00000X | 78054 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.