Basic Information
Provider Information
NPI: 1134352784
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAIRD
FirstName: SHELIA
MiddleName: G.
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7856 WESTSIDE PARK DR STE C
Address2:  
City: MOBILE
State: AL
PostalCode: 366958539
CountryCode: US
TelephoneNumber: 2516338090
FaxNumber: 2516338862
Practice Location
Address1: 7856 WESTSIDE PARK DR STE C
Address2:  
City: MOBILE
State: AL
PostalCode: 366958539
CountryCode: US
TelephoneNumber: 2516338090
FaxNumber: 2516338864
Other Information
ProviderEnumerationDate: 08/31/2009
LastUpdateDate: 08/31/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X073644MOY Nursing Service ProvidersRegistered Nurse 
163W00000XR873370MSN Nursing Service ProvidersRegistered Nurse 
163W00000XRN9243826FLN Nursing Service ProvidersRegistered Nurse 
163WI0500X073644MON Nursing Service ProvidersRegistered NurseInfusion Therapy
163WI0500XR873370MSN Nursing Service ProvidersRegistered NurseInfusion Therapy
163WI0500XRN9243826FLN Nursing Service ProvidersRegistered NurseInfusion Therapy

No ID Information.


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