Individual
MEGAN MEDINA BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 CLINTON RD, LATHAM, NY 12110-4200
(518) 785-7451
Mailing address
91 FIDDLERS LN, LATHAM, NY 12110-5349
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
717819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052893
—
NY
Enumeration date
08/24/2023
Last updated
08/24/2023
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