Provider Demographics
NPI:1184473142
Name:BAIRD, CHRISTINE MARCIA (PNP-PC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARCIA
Last Name:BAIRD
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 PIONEER WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6246
Mailing Address - Country:US
Mailing Address - Phone:561-460-2318
Mailing Address - Fax:
Practice Address - Street 1:2800 S SEACREST BLVD STE 150
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7961
Practice Address - Country:US
Practice Address - Phone:561-734-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029287363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics