Individual provider · NPI-1

Amber Lee Baines, RN

Nurse Practitioner, Family · Houston, TX

NPI number1699011270

StatusActive

Last updated in NPPESJan 11, 2022

Details

NPI: 1699011270
Entity type: Individual (NPI-1)
Name: Amber Lee Baines
Credential: RN
Sex: Female
Sole proprietor: No
Enumeration date: Dec 29, 2012
Certification date: Jan 11, 2022
Last updated: Jan 11, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	1052398	TX	Yes
163W00000X	Registered Nurse	976504	TX
2279G1100X	Respiratory Therapist, Registered, General Care	L0005579	MD

Practice location

1944 W Gray St
Houston, TX 77019-4826

Phone 832-742-9695

Mailing address

25710 Long Hill Ln
Spring, TX 77373-9109

Phone 443-447-3428

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