Individual provider · NPI-1

Carrie Elizabeth Baker, APRN

Nurse Practitioner, Gerontology · Port Charlotte, FL

NPI number1174370100

StatusActive

Last updated in NPPESSep 18, 2025

Details

NPI: 1174370100
Entity type: Individual (NPI-1)
Name: Carrie Elizabeth Baker
Credential: APRN
Sex: Female
Sole proprietor: No
Enumeration date: May 6, 2024
Certification date: Sep 18, 2025
Last updated: Sep 18, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LG0600X	Nurse Practitioner, Gerontology	APRN11033707	FL	Yes
363LA2100X	Nurse Practitioner, Acute Care	11033707	FL
163WC0200X	Registered Nurse, Critical Care Medicine	9529939	FL

Practice location

2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038

Phone 941-766-5095 · Fax 941-206-0326

Mailing address

2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038

Phone 941-766-5095 · Fax 941-206-0326

Other practice locations

3512 Middletown St
Port Charlotte, FL 33952

Phone 239-247-1125

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